Dewitt Dental Professionals | |
1707 W Main St Yorktown TX 78164-5127 | |
(361) 564-2239 | |
Not Available |
Full Name | Dewitt Dental Professionals |
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Speciality | Dentist - General Practice |
Location | 1707 W Main St, Yorktown, Texas |
Authorized Official Name and Position | Kimberly Marie Koenig (MANAGING MEMBER) |
Authorized Official Contact | 3612436242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dewitt Dental Professionals Po Box 590 Cuero TX 77954-0590 Ph: (361) 564-2239 | Dewitt Dental Professionals 1707 W Main St Yorktown TX 78164-5127 Ph: (361) 564-2239 |
NPI Number | 1376819029 |
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Provider Enumeration Date | 03/27/2012 |
Last Update Date | 03/27/2012 |
Identifier | Type | State | Issuer |
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1376819029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 22869 (Texas) | Primary |