Individual
DR. MAXWELL DRAKE WITWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2 ATRIUM CT, SELINSGROVE, PA 17870-9019
(570) 365-4951
Mailing address
511 N BROAD ST APT 904, PHILADELPHIA, PA 19123-3239
(717) 683-4877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044141
PA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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