Individual
JESSICA JILL WATERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1926 COLLEGEVIEW RD E, HC 116, ROCHESTER, MN 55904-8201
(507) 258-4046
Mailing address
1926 COLLEGEVIEW RD E, HC 116, ROCHESTER, MN 55904-8201
(507) 258-4046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13437
MN
Other
Enumeration date
07/14/2014
Last updated
03/02/2015
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