Grant A Witcher, DDS Valid NPI

Individual provider · General Practice Dentistry · Manhattan, KS

NPI

1184785933

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

6293 (KS)

Sex

Male

Sole proprietor

No

Enumerated

2006-12-13

Last updated

2007-07-08