Individual
DR. E LEO WHITWORTH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
542 RIVER ST, MATTAPAN, MA 02126-3014
(617) 298-1955
(617) 296-6004
Mailing address
542 RIVER ST, MATTAPAN, MA 02126-3014
(617) 298-1955
(617) 296-6004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13558
MA
Other
Enumeration date
03/08/2007
Last updated
04/03/2013
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