Organization
SEAN L WITTMER DMD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN WITTMER (PRESIDENT)
(253) 589-3636
Entity
Organization
Contact information
Practice address
10904 GRAVELLY LAKE DR SW, TACOMA, WA 98499-1330
(253) 589-3636
Mailing address
10904 GRAVELLY LAKE DR SW, TACOMA, WA 98499-1330
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7882
WA
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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