| Children's Dentistry Of Kyle | |
|
4100 Everett Ste. 215 Kyle TX 78640 | |
| (512) 565-6544 | |
| Not Available |
| Full Name | Children's Dentistry Of Kyle |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4100 Everett, Kyle, Texas |
| Authorized Official Name and Position | Jeremy Wilhelm Wittich (OWNER/DENTIST) |
| Authorized Official Contact | 5125656544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry Of Kyle 4100 Everett Ste. 215 Kyle TX 78640 Ph: (512) 565-6544 | Children's Dentistry Of Kyle 4100 Everett Ste. 215 Kyle TX 78640 Ph: (512) 565-6544 |
| NPI Number | 1588895692 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 08/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588895692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22616 (Texas) | Primary |
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