Organization
DEWITT C WILKERSON DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DE WITT WILKERSON (OWNER)
(727) 282-1980
Entity
Organization
Contact information
Practice address
390 4TH ST N, ST PETERSBURG, FL 33701-2802
(727) 282-1980
Mailing address
390 4TH ST N, ST PETERSBURG, FL 33701-2802
(727) 282-1980
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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