| NPI | 1205125796 |
|---|---|
| Other Name | JASON KILLIAN WITTENMYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DCT5) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 8022) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2025-12-08 |