Individual
DR. RICHARD WITTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1707 W CHARLESTON BLVD, SUITE 290, LAS VEGAS, NV 89102-2351
(702) 671-5134
Mailing address
1707 W CHARLESTON BLVD, SUITE 290, LAS VEGAS, NV 89102-2351
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
LL 380 14
NV
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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