Individual
DR. BRAD WATTERWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
230 LAFAYETTE RD, BLDG. D., PORTSMOUTH, NH 03801-5465
(603) 431-7616
Mailing address
36 PLAYHOUSE CIR, HAMPTON, NH 03842-2776
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1988
NH
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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