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1437248036
MICHAEL JAY WIRTH
WATERLOO, IA
NPI
1437248036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 06716)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL JAY WIRTH DDS
1029 W 4TH ST
WATERLOO, IA 50702-2803
Phone number: 319-235-0361
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Mailing Address
Dr. MICHAEL JAY WIRTH DDS
1029 W 4TH ST
WATERLOO, IA 50702-2803
Phone number: 319-235-0361
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