BRENDA BOSWORTH

PORT ALLEGANY, PA
NPI1386014140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy125K00000X Advanced Practice Dental Therapist
(Licence: PA  PHDH000015)
Enumeration Date2015-10-05
Last Update Date2015-10-05
Business Address
-- BRENDA BOSWORTH
686 TWO MILE RD
PORT ALLEGANY, PA 16743-5018
Phone number: 814-642-2732
Mailing Address
-- BRENDA BOSWORTH
686 TWO MILE RD
PORT ALLEGANY, PA 16743-5018
Phone number: 814-642-2732