KATHLEEN ELISSA WIRTH

FORT LAUDERDALE, FL
NPI1700717048
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-05-26
Last Update Date2026-05-26
Business Address
KATHLEEN ELISSA WIRTH DMD
824 NE 19TH AVE
FORT LAUDERDALE, FL 33304-3081
Phone number: 304-303-3020
Mailing Address
KATHLEEN ELISSA WIRTH DMD
824 NE 19TH AVE
FORT LAUDERDALE, FL 33304-3081
Phone number: 304-303-3020
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