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1760596308
RICHARD BRIAN WITTENBERG
COON RAPIDS, MN
NPI
1760596308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: MN 8787)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
DR. RICHARD BRIAN WITTENBERG D.D.S.
13055 RIVERDALE DR NW SUITE 400
COON RAPIDS, MN 55448-8403
Phone number: 612-243-9357
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Mailing Address
DR. RICHARD BRIAN WITTENBERG D.D.S.
3880 ZIRCON LN N
PLYMOUTH, MN 55446-2837
Phone number: 763-478-8554
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