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Organization

WITTE FAMILY DENTISTRY, LLC

Active
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Organization

WITTE FAMILY DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT WITTE DDS (MANAGER)
(318) 869-2535
Entity
Organization

Contact information

Practice address
137 E KINGS HWY, SHREVEPORT, LA 71104-3404
(318) 869-2535
(318) 869-2536
Mailing address
137 E KINGS HWY, SHREVEPORT, LA 71104-3404
(318) 869-2535
(318) 869-2536

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6338
LA

Other

Enumeration date
08/23/2013
Last updated
08/23/2013
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