Individual
DR. FORREST ELDRED WATERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3150 ZELDA CT, MONTGOMERY, AL 36106-2607
(334) 281-2451
Mailing address
3150 ZELDA CT, MONTGOMERY, AL 36106-2607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4029
AL
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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