Organization
DOUGLAS A. WITTE, DDS, MS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ALLEN WITTE DDS, MS (PRESIDENT)
(903) 593-9777
Entity
Organization
Contact information
Practice address
1029 E IDEL ST, TYLER, TX 75701-2025
(903) 593-9777
(903) 593-4110
Mailing address
1029 E IDEL ST, TYLER, TX 75701-2025
(903) 593-9777
(903) 593-4110
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
9413
TX
Other
Enumeration date
01/22/2007
Last updated
01/21/2014
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