Individual
DR. THOMAS C DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2306 S BROADWAY ST, ALEXANDRIA, MN 56308-3459
(320) 762-5216
Mailing address
8650 E LAKE CARLOS DR NE, CARLOS, MN 56319-8119
(320) 762-5216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9915
MN
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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