Individual
DR. TETSUJI ZENAS WATARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2930 E BARNETT RD, MEDFORD, OR 97504
(541) 779-5401
(541) 779-8674
Mailing address
2930 E BARNETT RD, MEDFORD, OR 97504
(541) 779-5401
(541) 779-8674
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D9047
OR
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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