Individual
DR. SCOTT C WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1308 12TH AVE, GRAFTON, WI 53024-1926
(262) 377-0780
Mailing address
1308 12TH AVE, GRAFTON, WI 53024-1926
(262) 377-0780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001901-015
WI
Other
Enumeration date
01/18/2007
Last updated
04/04/2008
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