Individual
DR. DARREN ALAN WITTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 W BROADWAY STE 3I, COLUMBIA, MO 65203-3842
(573) 449-7633
Mailing address
201 W BROADWAY STE 3I, COLUMBIA, MO 65203-3842
(573) 449-7633
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2001014955
MO
Other
Enumeration date
08/30/2006
Last updated
09/19/2007
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