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Organization

CHILDREN'S DENTISTRY OF KYLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEREMY WILHELM WITTICH (OWNER/DENTIST)
(512) 565-6544
Entity
Organization

Contact information

Practice address
4100 EVERETT, STE. 215, KYLE, TX 78640
(512) 565-6544
Mailing address
4100 EVERETT, STE. 215, KYLE, TX 78640
(512) 565-6544

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22616
TX

Other

Enumeration date
08/06/2009
Last updated
08/06/2009
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