Roy Wortham
NPI #1568520955 in Broomfield, Colorado
Provider Information
- NPI Number
- 1568520955
- Entity Type
- Individual
- Name
- Roy Wortham
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Oct 26, 2009
Practice Location
- Address
- 300 NICKEL ST
- Address 2
- SUITE 11
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80020-2013
- Phone
- (303) 635-1816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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