DR. Sally Lutrick Waters, DMD

NPI #1013027127 in Ruidoso, New Mexico

Provider Information

NPI Number: 1013027127
Entity Type: Individual
Name: DR. Sally Lutrick Waters, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1098 MECHEM DRIVE
City: Ruidoso
State: New Mexico
ZIP Code: 88345
Phone: (505) 258-3388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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