Philip Wadsworth
Philip Wadsworth is a Student in an Organized Health Care Education/Training Program in Malden, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
6 Island Hill Ave Apt 412Malden, MA 02148-2651
Phone: (570) 561-4759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DN1856641 (MA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence DN1856641 (MA) |
Record details
| NPI number | 1972915726 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 28, 2014 |
| Last updated in NPPES | July 9, 2015 |
| Mailing address | 100 Rivers Edge Dr Unit 326, Medford, MA 02155-5471 |
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