Individual
DR. JESSICA R WITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 N KRINGLE PLACE BLVD, SUITE A, SANTA CLAUS, IN 47579-6153
(812) 937-9750
(812) 937-9760
Mailing address
1 N KRINGLE PLACE BLVD, SUITE A, SANTA CLAUS, IN 47579
(812) 937-9750
(812) 937-9760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010597
IN
Other
Enumeration date
05/12/2006
Last updated
11/05/2010
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