Most Relevant Information
Provider Data
| NPI Number: | 1003460080 |
| Provider Name: | KATIE WESNESKI WHITWORTH DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 35515 |
Most Important Dates
| Enumeration Date: | 07/29/2019 |
| Last Updated: | 10/29/2020 |
Provider Practice Location
1211 S BRIDGE ST
BRADY
TX
768256229
Practice Location Phone/Fax
| Phone: | 3255970464 |
| Fax: |
Provider Mailing Location
6595 RANCH ROAD 385
LONDON
TX
768545600
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |