Children's Dentistry of Kyle

NPI #1588895692 in Kyle, Texas

Provider Information

NPI Number
1588895692
Entity Type
Organization
Organization Name
Children's Dentistry of Kyle
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Aug 6, 2009
Last Updated
Aug 6, 2009

Practice Location

Address
4100 EVERETT
Address 2
STE. 215
City
Kyle
State
Texas
ZIP Code
78640
Phone
(512) 565-6544

Authorized Official

Name
DR. JEREMY WILHELM WITTICH
Title
OWNER/DENTIST
Phone
(512) 565-6544

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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