Individual
DR. JEFFREY KENT WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
2680 LAWRENCEVILLE HWY, SUITE 102, DECATUR, GA 30033-2500
(678) 990-8034
(770) 934-7176
Mailing address
2680 LAWRENCEVILLE HWY, SUITE 102, DECATUR, GA 30033-2500
(678) 990-8034
(770) 934-7176
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN013125
GA
Other
Enumeration date
04/16/2008
Last updated
08/31/2012
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