| Kevin G. Witt, Dds Plc | |
|
1350 Boyson Rd Hiawatha IA 52233-2211 | |
| (319) 395-0159 | |
| Not Available |
| Full Name | Kevin G. Witt, Dds Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1350 Boyson Rd, Hiawatha, Iowa |
| Authorized Official Name and Position | Kevin Witt (DENTIST) |
| Authorized Official Contact | 3195302688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin G. Witt, Dds Plc 1355 Antler Dr North Liberty IA 52317-2315 Ph: (319) 530-2688 | Kevin G. Witt, Dds Plc 1350 Boyson Rd Hiawatha IA 52233-2211 Ph: (319) 395-0159 |
| NPI Number | 1083054720 |
|---|---|
| Provider Enumeration Date | 06/26/2013 |
| Last Update Date | 12/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083054720 | NPI | - | NPPES |
| 0000338 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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