# DEWITT DENTAL PROFESSIONALS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376819029
- **Authorized official:** DR. KIMBERLY MARIE KOENIG D.D.S. (MANAGING MEMBER)
- **Authorized official phone:** (361) 243-6242

## Contact information

- **Practice address:** 1707 W MAIN ST, YORKTOWN, TX 78164-5127
- **Practice address phone:** (361) 564-2239
- **Mailing address:** PO BOX 590, CUERO, TX 77954-0590
- **Mailing address phone:** (361) 564-2239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22869 | TX | Yes |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 03/27/2012