Provider Demographics
NPI:1699858597
Name:LOK, WHELAN W (DDS)
Entity Type:Individual
Prefix:DR
First Name:WHELAN
Middle Name:W
Last Name:LOK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10050 GARVEY AVE
Mailing Address - Street 2:#105
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-2088
Mailing Address - Country:US
Mailing Address - Phone:626-444-4220
Mailing Address - Fax:626-444-6770
Practice Address - Street 1:10050 GARVEY AVE
Practice Address - Street 2:#105
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-2088
Practice Address - Country:US
Practice Address - Phone:626-444-4220
Practice Address - Fax:626-444-6770
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA511031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice