| NPI | 1386074490 |
|---|---|
| Doing Business As | WENTWORTH STREET DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MARGARET MCKENZIE RAYMOND WOODARD Manager 804-387-7108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 8200) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |