Organization
JEFFREY WATERHOUSE DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DAVID WATERHOUSE D.D.S., M.S. (OWNER)
(303) 927-6945
Entity
Organization
Contact information
Practice address
1014 MAIN ST, GOODLAND, KS 67735-2943
(785) 899-3025
(785) 899-3025
Mailing address
1014 MAIN ST, GOODLAND, KS 67735-2943
(785) 899-3025
(785) 899-3025
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60697
KS
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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