Organization
WITTE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WITTE DDS (MANAGER)
(318) 869-2535
Entity
Organization
Contact information
Practice address
137 E KINGS HWY, SHREVEPORT, LA 71104-3404
(318) 869-2535
(318) 869-2536
Mailing address
137 E KINGS HWY, SHREVEPORT, LA 71104-3404
(318) 869-2535
(318) 869-2536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6338
LA
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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