Individual
DR. EDD B WITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7222 COMMERCE CENTER DR, SUITE 247, COLORADO SPRINGS, CO 80919-2630
(719) 593-0403
(719) 593-0767
Mailing address
7222 COMMERCE CENTER DR, SUITE 247, COLORADO SPRINGS, CO 80919-2630
(719) 593-0403
(719) 593-0767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6775
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
777871
UNITED CONCORDIA ID #
CO
Enumeration date
11/01/2006
Last updated
07/08/2007
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