Individual
DAVID WORMHOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5100 OBYRNES FERRY RD, JAMESTOWN, CA 95327-9102
(209) 984-5291
(209) 984-4174
Mailing address
5100 OBYRNES FERRY RD, JAMESTOWN, CA 95327-9102
(209) 984-5291
(209) 984-4174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32519
CA
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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