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Individual

DR. CLINTON ROBERT WATERS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
145 CLINTON STREET, SUITE 103, WATERTOWN, NY 13601-3621
(315) 782-0110
Mailing address
108 STAFFORD DRIVE, BLACK RIVER, NY 13612-2145
(315) 773-2255

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27807
NY

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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