Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DS025986L | PA |
NPI | 1326018110 |
---|---|
Provider Name | Dr. Joseph William Karitis |
First Address | Mt Pleasant, SC 29466 |
Second Address | Jacksonville, FL 32212-0140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 30/08/2017 |