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Individual

DR. JAMES R. WATERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
1814 W 35TH ST, AUSTIN, TX 78703-1323
(512) 451-6457
(512) 451-6461
Mailing address
1814 W 35TH ST, AUSTIN, TX 78703-1323

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18653
TX

Other

Enumeration date
01/23/2008
Last updated
01/23/2008
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