Individual
DR. TIMOTHY CHARLES WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
909 WALNUT ST, PHILADELPHIA, PA 19107-5211
(215) 955-6215
Mailing address
909 WALNUT ST, PHILADELPHIA, PA 19107-5211
(215) 955-6215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040457
PA
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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