Individual
JERIN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
5780 N CAREFREE CIR, COLORADO SPRINGS, CO 80917-2795
(702) 373-7627
Mailing address
5780 N CAREFREE CIR, COLORADO SPRINGS, CO 80917-2795
(702) 373-7627
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
101363
NV
124Q00000X
Dental Hygienist
3683
SC
124Q00000X
Dental Hygienist
7994
NC
124Q00000X
Dental Hygienist
Primary
906335
CO
Other
Enumeration date
04/17/2016
Last updated
04/17/2016
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