| Sean L Wittmer Dmd Ps | |
|
10904 Gravelly Lake Dr Sw Tacoma WA 98499-1330 | |
| (253) 589-3636 | |
| Not Available |
| Full Name | Sean L Wittmer Dmd Ps |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 10904 Gravelly Lake Dr Sw, Tacoma, Washington |
| Authorized Official Name and Position | Sean Wittmer (PRESIDENT) |
| Authorized Official Contact | 2535893636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean L Wittmer Dmd Ps 10904 Gravelly Lake Dr Sw Tacoma WA 98499-1330 Ph: () - | Sean L Wittmer Dmd Ps 10904 Gravelly Lake Dr Sw Tacoma WA 98499-1330 Ph: (253) 589-3636 |
| NPI Number | 1649504606 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 09/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649504606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 7882 (Washington) | Primary |
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