Dewitt Dental Professionals

NPI #1376819029 in Yorktown, Texas

Provider Information

NPI Number: 1376819029
Entity Type: Organization
Organization Name: Dewitt Dental Professionals
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 27, 2012
Last Updated: Mar 27, 2012

Practice Location

Address: 1707 W MAIN ST
City: Yorktown
State: Texas
ZIP Code: 78164-5127
Phone: (361) 564-2239

Authorized Official

Name: DR. KIMBERLY MARIE KOENIG, D.D.S.
Title: MANAGING MEMBER
Phone: (361) 243-6242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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