Individual
JOHN WHITMORE WILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,P.C.
Contact information
Practice address
1058 N IRISH RD, DAVISON, MI 48423-2209
(810) 653-4100
(810) 658-7526
Mailing address
1058 N IRISH RD, DAVISON, MI 48423-2209
(810) 653-4100
(810) 658-7526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12864
MI
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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