Individual
DR. JENNIFER RUTH WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
6071 WALLACE ROAD EXT, WEXFORD, PA 15090-7300
(412) 538-0010
Mailing address
6071 WALLACE ROAD EXT, WEXFORD, PA 15090-7300
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS043034
PA
Other
Enumeration date
06/26/2014
Last updated
10/08/2024
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