Individual
MRS. DANA LOUISE WATERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH EPDH
Contact information
Practice address
61248 BROOKSWOOD BLVD, BEND, OR 97702-2535
(541) 383-8917
Mailing address
61248 BROOKSWOOD BLVD, BEND, OR 97702-2535
(541) 383-8917
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4127
OR
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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