Individual
CAITLIN MEREDITH WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5133 N CENTRAL AVE STE 102, PHOENIX, AZ 85012-1438
(602) 266-1776
(602) 374-3007
Mailing address
5133 N CENTRAL AVE STE 102, PHOENIX, AZ 85012-1438
(602) 266-1776
(602) 374-3007
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
10459
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/22/2019
Last updated
08/30/2021
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