DR. Stanley Jerome Witkiewicz, DDS

NPI #1447326004 in Antioch, Illinois

Provider Information

NPI Number: 1447326004
Entity Type: Individual
Name: DR. Stanley Jerome Witkiewicz, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 715 N MAIN
City: Antioch
State: Illinois
ZIP Code: 60002
Phone: (847) 395-0894

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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