Individual
DR. CHARLES EDWARD WITKOWSKI SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1021 W OAKLAND AVE, SUITE 109, JOHNSON CITY, TN 37604-2191
(423) 283-4555
(423) 283-3044
Mailing address
PO BOX 5549, SUITE 109, JOHNSON CITY, TN 37602
(423) 283-4555
(423) 283-3044
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS004426
TN
Other
Enumeration date
01/24/2006
Last updated
03/11/2014
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