Whitworth Dental Assoc

NPI 1578773925 - Dentist - 1223G0001X

NPI Details
NPI 1578773925
Enumeration Date 05/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name E LEO E
Position PRES
Phone (617) 298-1955
Fax (617) 296-6004
Practice Location
542 RIVER ST
MATTAPAN MA, 02126-3014, US
Phone (617) 298-1955
Fax (617) 296-6004
Business Location
542 RIVER ST
MATTAPAN MA, 02126-3014, US
Phone (617) 298-1955
Fax (617) 296-6004
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Whitworth Dental Assoc NPI is 1578773925, taxonomy code is 1223G0001X Whitworth Dental Assoc physically located at 542 River St, Mattapan MA, 02126-3014. NPI Number 1033115704 has the healthcare provider type.

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1578773925 NPI number is provided on an as is basis without warranty of any kind. 1578773925 is maintained by the National Plan & Provider Enumeration System. The contents of Whitworth Dental Assoc are for informational purposes only.