# SEAN L WITTMER DMD PS

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

## Provider details

- **NPI number:** 1649504606
- **Authorized official:** SEAN WITTMER (PRESIDENT)
- **Authorized official phone:** (253) 589-3636

## Contact information

- **Practice address:** 10904 GRAVELLY LAKE DR SW, TACOMA, WA 98499-1330
- **Practice address phone:** (253) 589-3636
- **Mailing address:** 10904 GRAVELLY LAKE DR SW, TACOMA, WA 98499-1330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 7882 | WA | Yes |

## Other

- **Enumeration date:** 09/23/2009
- **Last updated:** 09/23/2009