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General NPI Number Information
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NPI Number | 1417767922
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Entity Type | Organization
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Legal Business Name | DAVID D WITSCHEN D.D.S. PA
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 710 9TH ST N
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City | VIRGINIA
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State | MN
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Zip | 55792-2322
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Country | US
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Telephone | 218-741-5070
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Fax | 218-293-6002
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Provider Business Mailing Address
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Address Line | 710 9TH ST N
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City | VIRGINIA
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State | MN
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Zip | 55792-2322
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Country | US
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Telephone | 218-741-5070
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Fax | 218-293-6002
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID D WITSCHEN
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Credential | DDS
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Telephone | 218-741-5070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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