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Organization
DOUGLAS A. WITTE, DDS, MS, INC.
Active
Organization
DOUGLAS A. WITTE, DDS, MS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ALLEN WITTE DDS, MS (PRESIDENT)
(903) 593-9777
Entity
Organization
Contact information
Practice address
1029 E IDEL ST, TYLER, TX 75701-2025
(903) 593-9777
(903) 593-4110
Mailing address
1029 E IDEL ST, TYLER, TX 75701-2025
(903) 593-9777
(903) 593-4110
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
9413
TX
Other
Enumeration date
01/22/2007
Last updated
01/21/2014
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