Individual
AMANDA WITTWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
711 W MORELAND BLVD, SUITE 204, WAUKESHA, WI 53188-2483
(262) 617-0178
Mailing address
711 W. MORELAND BLVD., SUITE 204, WAUKESHA, WI 53188
(262) 617-0178
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10175-16
WI
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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