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1811911639
BEVERLY B. WENTWORTH
LOUISVILLE, KY
NPI
1811911639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: KY 5852)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. BEVERLY B. WENTWORTH DMD
10503 WATTERSON TRL
LOUISVILLE, KY 40299-3740
Phone number: 502-267-1766
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Mailing Address
Dr. BEVERLY B. WENTWORTH DMD
2612 TUCKER STATION RD
LOUISVILLE, KY 40299-4547
Phone number: 502-267-7196
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