Children's Dentistry of Kyle

NPI #1265734594 in Gonzales, Texas

Provider Information

NPI Number
1265734594
Entity Type
Organization
Organization Name
Children's Dentistry of Kyle
Subpart
Yes (part of a larger organization)
Parent Organization
CHILDREN'S DENTISTRY OF KYLE
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Nov 18, 2010
Last Updated
Nov 18, 2010

Practice Location

Address
1110 N SARAH DEWITT DR
State
Texas
ZIP Code
78629-3311
Phone
(512) 268-4400

Authorized Official

Name
DR. JEREMY WITTICH, DDS
Title
OWNER/PROVIDER
Phone
(512) 268-4400

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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Provider Name
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