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Individual

DR. DAREN WADSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
111 S GROVE ST STE 1, PETERSBURG, WV 26847-1805
(304) 257-4593
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4458
WV

Other

Enumeration date
07/07/2020
Last updated
09/12/2023
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