MICHAEL JAY WIRTH

WATERLOO, IA
NPI1437248036
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IA  06716)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
DR. MICHAEL JAY WIRTH DDS
1029 W 4TH ST
WATERLOO, IA 50702-2803
Phone number: 319-235-0361
Mailing Address
DR. MICHAEL JAY WIRTH DDS
1029 W 4TH ST
WATERLOO, IA 50702-2803
Phone number: 319-235-0361
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