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Individual

DR. JEFFREY DAVID WATERHOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
1014 MAIN ST, GOODLAND, KS 67735-2943
(785) 899-3025
(785) 899-3025
Mailing address
1014 MAIN ST, GOODLAND, KS 67735-2943
(785) 899-3025
(785) 899-3025

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60697
KS

Other

Enumeration date
08/31/2010
Last updated
01/18/2011
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