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Individual

MR. RICHARD C WITTENAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
180 NEWPORT CENTER DR # 204, NEWPORT BEACH, CA 92660-6972
(949) 729-2200
(949) 729-9902
Mailing address
180 NEWPORT CENTER DR # 204, NEWPORT BEACH, CA 92660-6972
(949) 729-2200
(949) 729-9902

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
52144
CA

Other

Enumeration date
10/02/2008
Last updated
07/08/2009
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