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Individual
DR. JARED M WIRTH
Active
Individual
DR. JARED M WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60866016
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE60866016
GENERAL DENTIST
WA
Enumeration date
08/27/2018
Last updated
08/27/2018
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