Individual
SEAN L WITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10904 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1330
(253) 589-3636
(253) 589-3177
Mailing address
10904 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1330
(253) 589-3636
(253) 589-3177
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE00007882
WA
Other
Enumeration date
11/01/2006
Last updated
07/09/2007
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