Individual
DR. DANIEL P WITKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1612 N WISCONSIN ST, PORT WASHINGTON, WI 53074
(262) 284-7151
(262) 284-9812
Mailing address
PO BOX 407, 1612 N WISCONSIN ST, PORT WASHINGTON, WI 53074
(262) 284-7151
(262) 284-9812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2328
WI
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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