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Individual

DR. PHILIP SPENCER WITKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
415 ROBERTSON BLVD STE A, WALTERBORO, SC 29488-5713
(843) 549-2121
(843) 549-7705
Mailing address
415 ROBERTSON BLVD STE A, WALTERBORO, SC 29488-5713
(843) 549-2121
(843) 549-7705

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3784
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
993784
SC
Enumeration date
10/24/2006
Last updated
11/20/2014
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