Most Relevant Information
Provider Data
| NPI Number: | 1003570367 |
| Provider Name: | PATRICIA WHITWORTH |
| Entity Type: | Individual |
| Taxonomy Code: | 126800000X |
| Specialty: | Dental Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/23/2021 |
| Last Updated: | 10/23/2021 |
Provider Practice Location
224 PAT LN
FAIRBORN
OH
453244438
Practice Location Phone/Fax
| Phone: | 9378788838 |
| Fax: |
Provider Mailing Location
224 PAT LN
FAIRBORN
OH
453244438
Provider Mailing Phone/Fax
| Phone: | 9378788838 |
| Fax: |