Individual
DR. BLAIR E WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
400C SOUTHPARK BLVD, COLONIAL HEIGHTS, VA 23834-2974
(804) 526-4889
Mailing address
1090 NORTHCHASE PKWY SE STE 290, MARIETTA, GA 30067-6402
(770) 916-5352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413287
VA
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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