Individual
CAROLINA WENTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3145 GARDEN AVE STE 1278, JBSA FT SAM HOUSTON, TX 78234-7719
(210) 808-3736
Mailing address
3038 WILLIAM HARDEE ROAD, JBSA FT SAM HOUSTON, TX 78234
(210) 808-2710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414950
VA
Other
Enumeration date
07/29/2015
Last updated
04/16/2025
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