DR. Robert Hurd Southworth, D.D.S.

NPI #1982998381 in Wausau, Wisconsin

Provider Information

NPI Number: 1982998381
Entity Type: Individual
Name: DR. Robert Hurd Southworth, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 2, 2011
Last Updated: Jun 2, 2011

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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