Individual
DR. GREGORY P HAWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
305 W 12TH AVE, OHIO STATE UNIVERSITY, COLLEGE OF DENTISTRY, COLUMBUS, OH 43210-1267
(614) 292-1495
Mailing address
305 W 12TH AVE, OHIO STATE UNIVERSITY, COLLEGE OF DENTISTRY, COLUMBUS, OH 43210-1267
(614) 292-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-022678
OH
Other
Enumeration date
10/28/2007
Last updated
10/28/2007
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