Michael Jay Wirth DDS

NPI 1437248036 - Dentist - 1223G0001X

NPI Details
NPI 1437248036
Gender Male
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1029 W 4TH ST
WATERLOO IA, 50702-2803, US
Phone (319) 235-0361
Fax (319) 235-0362
Business Location
1029 W 4TH ST
WATERLOO IA, 50702-2803, US
Phone (319) 235-0361
Fax (319) 235-0362
Toxanomy
Taxonomy Code 1223G0001X
License State Iowa
License Number 06716
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According to our database, Dr. Michael Jay Wirth DDS NPI is 1437248036, taxonomy code is 1223G0001X and license number is 06716, license state is located at Iowa. Michael Jay Wirth DDS physically located at 1029 W 4th St, Waterloo IA, 50702-2803. NPI Number Michael Jay Wirth DDS has the Individual type.

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1437248036 NPI number is provided on an as is basis without warranty of any kind. 1437248036 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Jay Wirth DDS are for informational purposes only.