Individual
DR. AMY ROBERTSON WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2264 MCINGVALE RD, HERNANDO, MS 38632-8710
(662) 429-6736
(662) 429-6752
Mailing address
2264 MCINGVALE RD, HERNANDO, MS 38632-8710
(662) 429-6736
(662) 429-6752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3018-97
MS
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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