Organization
DEWITT DENTAL PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY MARIE KOENIG D.D.S. (MANAGING MEMBER)
(361) 243-6242
Entity
Organization
Contact information
Practice address
1707 W MAIN ST, YORKTOWN, TX 78164-5127
(361) 564-2239
Mailing address
PO BOX 590, CUERO, TX 77954-0590
(361) 564-2239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22869
TX
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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