Individual
DR. GLENN STEWART WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.D.
Contact information
Practice address
10506 MONTGOMERY RD, SUITE 203, CINCINNATI, OH 45242-4487
(513) 791-0550
(513) 791-1517
Mailing address
10506 MONTGOMERY RD, SUITE 203, CINCINNATI, OH 45242-4487
(513) 791-0550
(513) 791-1517
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30022099
OH
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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