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1134220130
JOEL RUSSELL WADSWORTH
LADY LAKE, FL
NPI
1134220130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN14051)
Enumeration Date
2006-09-25
Last Update Date
2009-11-18
Business Address
Dr. JOEL RUSSELL WADSWORTH D.M.D.
13940 N US HIGHWAY 441 SUITE 602
LADY LAKE, FL 32159-8908
Phone number: 352-750-0008
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Mailing Address
Dr. JOEL RUSSELL WADSWORTH D.M.D.
PO BOX 3817
BELLEVIEW, FL 34421-3817
Phone number: 352-750-0008
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