Individual
DR. FREDRIC JAY WITKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8861 SW 69 CT, MIAMI, FL 33156
(305) 662-2216
(305) 663-6647
Mailing address
8861 SW 69 CT, MIAMI, FL 33156
(305) 662-2216
(305) 663-6647
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN7060
FL
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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