Philip Wadsworth

NPI #1972915726 in Malden, Massachusetts

Provider Information

NPI Number
1972915726
Entity Type
Individual
Name
Philip Wadsworth
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
May 28, 2014
Last Updated
Jul 9, 2015

Practice Location

Address
6 ISLAND HILL AVE APT 412
City
Malden
ZIP Code
02148-2651
Phone
(570) 561-4759

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - General PracticeGeneral Practice

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