Whalio Doctors

NPI 1386014140

Brenda Bosworth

Practitioner Advanced Practice Dental Therapist Port Allegany, PA

Practice location

Address
686 Two Mile Rd, Port Allegany, PA 16743-5018
Phone
(814) 642-2732

Registered specialties

Advanced Practice Dental Therapist Primary
Dental Providers Taxonomy 125K00000X Licence PHDH000015 (PA)

Registry record

NPI
1386014140
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Oct 2015
Record last updated
5 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.