Individual
DR. KELSEY LEE WITTORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1026 WOODBURY AVE, COUNCIL BLUFFS, IA 51503-7915
(712) 201-2289
Mailing address
1026 WOODBURY AVE, COUNCIL BLUFFS, IA 51503-7915
(712) 201-2289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09644
IA
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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