Individual
DR. KURTIS LEE WADSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6889
Mailing address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6889
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS038709
PA
Other
Enumeration date
11/05/2011
Last updated
11/05/2011
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