Individual
CHRISTOPHER R WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2916 W STOLLEY PARK RD STE A, GRAND ISLAND, NE 68801-6808
(308) 382-1734
(308) 382-1784
Mailing address
3106 BRENTWOOD DR, GRAND ISLAND, NE 68801-7221
(308) 381-2945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5631
NE
Other
Enumeration date
07/18/2005
Last updated
12/03/2014
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