Individual
RENEE E WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1040 GATEWAY LOOP STE B, SPRINGFIELD, OR 97477-1196
(541) 465-9821
(541) 988-1825
Mailing address
498 HARLOW RD, SUITE 1, SPRINGFIELD, OR 97477-1336
(541) 465-9821
(541) 988-1825
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7573
OR
Other
Enumeration date
07/07/2005
Last updated
02/20/2019
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