Individual
DR. RICHARD TODD WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5240 W 9TH STREET DR STE 100, GREELEY, CO 80634-4480
(970) 353-5262
(970) 353-5266
Mailing address
2124 64TH AVE, GREELEY, CO 80634-7906
(970) 339-4799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7576
CO
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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