Organization
ANNA WITANTO DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA WITANTO DDS (OWNER)
(510) 489-6900
Entity
Organization
Contact information
Practice address
33137 ALVARADO NILES RD, UNION CITY, CA 94587-3109
(510) 489-6900
Mailing address
33137 ALVARADO NILES RD, UNION CITY, CA 94587-3109
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
CA
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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