Individual
DR. BEVERLY B. WENTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10503 WATTERSON TRL, LOUISVILLE, KY 40299-3740
(502) 267-1766
Mailing address
2612 TUCKER STATION RD, LOUISVILLE, KY 40299-4547
(502) 267-7196
(502) 267-0508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5852
KY
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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