Individual
JEFFREY STEVEN WITHUSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
103 9TH ST N, WAHPETON, ND 58075-4311
(701) 642-8566
(701) 642-1111
Mailing address
7747 MARIE ST, WAHPETON, ND 58075-9628
(701) 642-2129
(701) 642-1111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1807
ND
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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