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NPI Code Detail

MEDICARE: CHRISTOPHER WITEK DDS

MEDICARE: CHRISTOPHER WITEK DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry2901600479MI
2122300000XDentist37154TX

General Provider Information

NPI Number : 1174152581
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER WITEK DDS
Provider Business Mailing Address
First Line : 1755 WYNDALE ST APT 508
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4171
Country : US
Telephone Number : 734-294-9165
Fax Number :
Provider Business Practice Location Address
First Line : 9205 EAGLE DR STE 100
Second Line :
City : MONT BELVIEU
State : TX
Zip : 77523-5620
Country : US
Telephone Number : 281-241-4249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2020
Last Update Date : 03/18/2023

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