Individual
PAUL WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1855 PIEDMONT RD, STE. 102, MARIETTA, GA 30066-4271
(770) 565-0132
Mailing address
1855 PIEDMONT RD, STE. 102, MARIETTA, GA 30066-4271
(770) 565-0132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
GA9986
GA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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