Anna Witanto in Union City - General Practice

Anna Witanto - NPI 1477693133

Anna Witanto is a General Practice in Union City, California. Anna Witanto practices all healthcare services and medical treatments related to General Practice. The NPI Number for Anna Witanto is 1477693133. The last update date is 2007-07-08.

Anna Witanto's current location address is 2701 Decoto Rd, Union City, California. You can contact this provider via phone number 5104896900 and fax number 5103241759. The mailing address for Anna Witanto is 2701 Decoto Rd, Union City, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Anna Witanto
Address 2701 Decoto Rd, Union City, California
Phone Number 5104896900
Fax Number 5103241759
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1477693133
Provider Enumeration Date 2007-02-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2701 Decoto Rd
City Union City
State California (CA)
Post Code 945874940
Phone Number 5104896900
Fax Number 5103241759

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 44642
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Anna Witanto

What is the unique 10-digit identification code assigned to Anna Witanto by the Centers for Medicare & Medicaid Services?

The Anna Witanto has been issued the NPI (National Provider Identifier) 1477693133, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Anna Witanto?

The Anna Witanto is physically situated at 2701 Decoto Rd, in the city of Union City, state of CA, with the postal code 945874940.

What is the area of specialization for Anna Witanto, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Anna Witanto is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1477693133 to Anna Witanto?

The Anna Witanto received its 1477693133 assignment from the Centers for Medicare & Medicaid Services on 2007-02-08.

When was the Anna Witanto's information last updated?

The Anna Witanto's information was last updated on 2007-07-08.

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