Individual provider · Type 1 NPI
Mark Richard Wittchow, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · La Crosse, WI
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DDS-09955 (IA) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 6001325 (WI) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1083175087
Mark Richard Wittchow, DMD's National Provider Identifier is 1083175087, issued on Mar 31, 2019. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in La Crosse, WI. The record was last updated on Sep 15, 2023.