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Individual

DR. JARED M WIRTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
275 SE CABOT DR., #B201, OAK HARBOR, WA 98277
(360) 675-6404
Mailing address
PO BOX 489, OAK HARBOR, WA 98277-0489
(360) 914-7417

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60866016
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE60866016
GENERAL DENTIST
WA
Enumeration date
08/27/2018
Last updated
08/27/2018
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