Individual
DOUGLAS LEE WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
275 SE CABOT DR, SUITE B-201, OAK HARBOR, WA 98277-3715
(360) 675-6404
(360) 240-1301
Mailing address
275 SE CABOT DR, SUITE B-201, OAK HARBOR, WA 98277-3715
(360) 675-6404
(360) 240-1301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005773
WA
Other
Enumeration date
10/20/2006
Last updated
03/15/2017
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