Individual
RICHARD WORSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2427 NORTHGATE ST, OTTUMWA, IA 52501-1117
(641) 684-4889
Mailing address
2427 NORTHGATE ST, OTTUMWA, IA 52501-1117
(641) 684-4889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10203
IA
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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