Tiereny Witt, RDH

NPI #1619253655 in Clinton, Oklahoma

Provider Information

NPI Number: 1619253655
Entity Type: Individual
Name: Tiereny Witt, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Oct 21, 2011
Last Updated: Oct 21, 2011

Practice Location

Address: RR 1 BOX 3060
City: Clinton
State: Oklahoma
ZIP Code: 73601-9303
Phone: (580) 331-3426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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