Organization
HEWITT ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WHITNEY NICOLE DEFOREST HEWITT D.D.S., M.S. (OWNER, ORTHODONTIST)
(314) 704-0803
Entity
Organization
Contact information
Practice address
195 HIGHWAY 47 E STE 200, TROY, MO 63379-3188
(111) 111-1111
Mailing address
195 HIGHWAY 47 E STE 200, TROY, MO 63379-3188
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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