Individual
DR. MARK A WORFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3550 WARRENSVILLE CENTER RD, 104N, SHAKER HEIGHTS, OH 44122-5280
(216) 921-7700
(216) 921-6898
Mailing address
3550 WARRENSVILLE CENTER RD, 104N, SHAKER HEIGHTS, OH 44122-5280
(216) 921-7700
(216) 921-6898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-6511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017134
DORAL
OH
05
—
0432713
—
OH
01
—
788728
UNITED CONCORDIA
OH
Enumeration date
10/28/2005
Last updated
07/08/2007
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