Individual
WILLIAM ROBERT SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
225 LEOMINSTER ROAD, STERLING, MA 01564
(978) 422-7400
(978) 422-2369
Mailing address
225 LEOMINSTER ROAD, P.O. BOX 628, STERLING, MA 01564
(978) 422-7400
(978) 422-2369
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16294
MA
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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