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Individual

MRS. SUSAN EARNESTINE WOFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
415 BENJAMIN LN, LOUISVILLE, KY 40222-5813
(502) 423-7868
Mailing address
2241 STATE STREET, SUITE C, NEW ALBANY, IN 47150
(812) 945-5100
(502) 459-4226

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
12013505A
IN
122300000X
Dentist
Primary
9716
KY

Other

Enumeration date
06/29/2015
Last updated
11/03/2022
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