SCOTT C WIRTH

GRAFTON, WI
NPI1093868671
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5001901-015)
Enumeration Date2007-01-18
Last Update Date2008-04-04
Business Address
Dr. SCOTT C WIRTH DDS
1308 12TH AVE
GRAFTON, WI 53024-1926
Phone number: 262-377-0780
Mailing Address
Dr. SCOTT C WIRTH DDS
1308 12TH AVE
GRAFTON, WI 53024-1926
Phone number: 262-377-0780
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