Individual
DR. JEREMY WILHELM WITTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
906 SHOREWOOD DRIVE, SEABROOK, TX 77586
(646) 220-4429
Mailing address
906 SHOREWOOD DRIVE, SEABROOK, TX 77586
(646) 220-4429
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0022616
TX
1223P0221X
Pediatric Dentistry
DEN-9676
CO
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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