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Organization

GEORGE E WATTERS III DMD

Active
Parent organization
GEORGE E WATTERS III DMD
Organization subpart
Yes

Provider details

NPI number
Legal business name
GEORGE E WATTERS III DMD
Authorized official
GEORGE E WATTERS III DMD DMD (OWNER DENTIST)
(724) 652-9843
Entity
Organization

Contact information

Practice address
1212 BUTLER AVE, NEW CASTLE, PA 16101
(724) 652-9843
(724) 652-6577
Mailing address
1212 BUTLER AVE, NEW CASTLE, PA 16101
(724) 652-9843
(724) 652-6577

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS018178L
PA
335E00000X
Prosthetic/Orthotic Supplier
DS018178L
PA

Other

Enumeration date
03/10/2008
Last updated
04/24/2008
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