Individual
DR. PHILLIP ANDREW WATERMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3748 MONTGOMERY DR, SANTA ROSA, CA 95405-5215
(707) 546-7905
(707) 546-1573
Mailing address
3748 MONTGOMERY DR, SANTA ROSA, CA 95405-5215
(707) 546-7905
(707) 546-1573
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
29520
CA
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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