NPI 1174361679
Vitzthum Family Dentistry
Practice location
- Address
- 1866 W Ridgeway Ave, Waterloo, IA 50701-4546
- Phone
- (319) 235-0164
Authorised official
- Name
- Alex Vitzthum
- Title
- Dentist
- Phone
- (515) 890-7989
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1174361679
- Entity type
- Organization
- NPI issued
- 18 Jul 2024
- Record last updated
- 18 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.