Brenda Bosworth

NPI #1386014140 in Port Allegany, Pennsylvania

Provider Information

NPI Number: 1386014140
Entity Type: Individual
Name: Brenda Bosworth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Advanced Practice Dental Therapist
Enumeration Date: Oct 5, 2015
Last Updated: Oct 5, 2015

Practice Location

Address: 686 TWO MILE RD
City: Port Allegany
State: Pennsylvania
ZIP Code: 16743-5018
Phone: (814) 642-2732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Advanced Practice Dental Therapist	125K00000X	Primary

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