Individual
DR. OTTO ERNEST WITBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1604 COLUMBIA AVE, LANCASTER, PA 17603-4529
(717) 392-3368
(717) 392-4762
Mailing address
1604 COLUMBIA AVE, LANCASTER, PA 17603-4529
(717) 392-3368
(717) 392-4762
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021844L
PA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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