Whitworth Dental Assoc
NPI #1578773925 in Mattapan, Massachusetts
Provider Information
- NPI Number
- 1578773925
- Entity Type
- Organization
- Organization Name
- Whitworth Dental Assoc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 542 RIVER ST
- City
- Mattapan
- State
- Massachusetts
- ZIP Code
- 02126-3014
- Phone
- (617) 298-1955
Authorized Official
- Name
- DR. E LEO WHITWORTH JR., DDS
- Title
- PRES
- Phone
- (617) 298-1955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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