Individual
DR. JESSICA WITHHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13430 W 62ND TER, SHAWNEE, KS 66216-1784
(913) 962-4400
Mailing address
13430 W 62ND TER, SHAWNEE, KS 66216-1784
(913) 962-4400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60548
KS
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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