Individual
DR. BRIAN RICHARD WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD PA
Contact information
Practice address
13214 TELECOM DR, TEMPLE TERRACE, FL 33637-0932
(813) 988-7489
(813) 977-7004
Mailing address
13214 TELECOM DR, TEMPLE TERRACE, FL 33637-0932
(813) 988-7489
(813) 977-7004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN14117
FL
Other
Enumeration date
10/02/2006
Last updated
01/25/2012
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