Organization
JEFFREY S WITTMUS DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WITTMUS (PRESIDENT)
(773) 631-1624
Entity
Organization
Contact information
Practice address
5315 N CENTRAL AVE, CHICAGO, IL 60630-1302
(773) 631-6060
Mailing address
5315 N CENTRAL AVE, CHICAGO, IL 60630-1302
(773) 631-6060
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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