Individual
RAYMOND D WATIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1231 MAPLE AVENUE, ZANESVILLE, OH 43701
(740) 453-0697
Mailing address
550 LONGVIEW, ZANESVILLE, OH 43701
(740) 454-1809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13179
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072513
—
OH
01
—
511526
UNITED CONCORDIA
OH
Enumeration date
07/01/2006
Last updated
07/09/2007
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