Organization
WATTERWORTH ORTHODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD WATTERWORTH (PRESIDENT)
(603) 431-7616
Entity
Organization
Contact information
Practice address
230 LAFAYETTE RD, BLDG. D., PORTSMOUTH, NH 03801-5465
(603) 431-7616
Mailing address
230 LAFAYETTE RD, BLDG. D., PORTSMOUTH, NH 03801-5465
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
08/31/2010
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