DR. Serena Autumn Waterworth, DMD

NPI #1043057334 in Gresham, Oregon

Provider Information

NPI Number: 1043057334
Entity Type: Individual
Name: DR. Serena Autumn Waterworth, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 12, 2024
Last Updated: Jul 12, 2024

Practice Location

Address: 387 NE 223RD AVE
City: Gresham
State: Oregon
ZIP Code: 97030-8554
Phone: (503) 491-5450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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