Individual
MADELINE WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
17103 28TH DR NE STE 104, MARYSVILLE, WA 98271-4830
(360) 208-0492
Mailing address
110 S 51ST AVE, OMAHA, NE 68132-3507
(402) 630-8830
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61301646
WA
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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