Individual
DR. JOHN RICHARD WITTENBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3012 GLENMORE AVE, SUITE 12, CINCINNATI, OH 45238-2269
(513) 661-8509
Mailing address
3012 GLENMORE AVE, SUITE 12, CINCINNATI, OH 45238-2269
(513) 661-8509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30013189
OH
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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