Individual
JONATHAN WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 S NARCOOSSEE RD, SAINT CLOUD, FL 34771-7204
(321) 766-4796
Mailing address
1950 S NARCOOSSEE RD, SAINT CLOUD, FL 34771-7204
(321) 766-4796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24995
FL
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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