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Organization
ROBERT A. WITEK DDS, INC.
Active
Organization
ROBERT A. WITEK DDS, INC.
Active
Other names
Creating Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A WITEK DDS (OWNER)
(951) 302-9800
Entity
Organization
Contact information
Practice address
31309 TEMECULA PKWY, SUITE 100, TEMECULA, CA 92592-6826
(951) 302-9800
(951) 302-6012
Mailing address
31309 TEMECULA PKWY, SUITE 100, TEMECULA, CA 92592-6826
(951) 302-9800
(951) 302-6012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34443
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437373446
DENTIST
CA
Enumeration date
05/02/2016
Last updated
05/02/2016
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