Individual
DR. DENTONIO ELLSWORTH WORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(804) 892-9001
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(804) 892-9001
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401416245
VA
1223E0200X
Endodontics
055426
NY
1223G0001X
General Practice Dentistry
13352
MD
Other
Enumeration date
01/02/2007
Last updated
07/15/2024
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