Individual
JULIE WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS, PA
Contact information
Practice address
3640 MADACA LN, TAMPA, FL 33618-2057
(813) 968-4040
(813) 968-4020
Mailing address
3640 MADACA LN, TAMPA, FL 33618-2057
(813) 968-4040
(813) 968-4020
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13638
FL
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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