Robert H Southworth DDS Sc

NPI #1841309697 in Wausau, Wisconsin

Provider Information

NPI Number
1841309697
Entity Type
Organization
Organization Name
Robert H Southworth DDS Sc
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 29, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
609 JACKSON ST
City
Wausau
ZIP Code
54403-5550
Phone
(715) 842-1935

Authorized Official

Name
DR. ROBERT HURD SOUTHWORTH, DDS
Title
PRESIDENT OWNER
Phone
(715) 842-1935

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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