Individual
DR. ROBERT J WITHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5470 LAFAYETTE RD, INDIANAPOLIS, IN 46254-1620
(317) 293-4611
(317) 297-7504
Mailing address
5470 LAFAYETTE RD, INDIANAPOLIS, IN 46254-1620
(317) 293-4611
(317) 297-7504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12005952B
IN
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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