Individual
DR. JOHN C WATAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D, PH.D.
Contact information
Practice address
1959 NE PACIFIC STREET UNIVERSITY OF WASHINGTON, D779A, BOX 357456, RESTORATIVE DENTISTRY, SEATTLE, WA 98195-7456
(206) 543-5948
Mailing address
1959 NE PACIFIC STREET UNIVERSITY OF WASHINGTON, D779A, BOX 357456, RESTORATIVE DENTISTRY, SEATTLE, WA 98195-7456
(206) 543-5948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00011203
WA
Other
Enumeration date
06/07/2006
Last updated
04/21/2014
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