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Individual
CONNOR WILLIAM WITTY
Active
Individual
CONNOR WILLIAM WITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401415652
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000460
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
063842
NY
Other
Enumeration date
06/22/2017
Last updated
07/30/2024
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