Individual
DR. HENRY B. WOTHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1524 LONG ST, SWEET HOME, OR 97386-2313
(541) 367-2931
(541) 367-2935
Mailing address
1524 LONG ST, SWEET HOME, OR 97386-2313
(541) 367-2931
(541) 367-2935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4179
OR
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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