Waterhouse Family Dental, Inc.

NPI #1437323839 in Beaverton, Oregon

Provider Information

NPI Number: 1437323839
Entity Type: Organization
Organization Name: Waterhouse Family Dental, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 16, 2008
Last Updated: Apr 16, 2008

Practice Location

Address: 16055 SW REGATTA LN
Address 2: STE 800
City: Beaverton
State: Oregon
ZIP Code: 97006-8303
Phone: (503) 614-0454

Authorized Official

Name: DR. MOHAMMAD H FOTOUHI, D.D.S.
Title: DENTIST
Phone: (503) 614-0454

Specialties & Taxonomy Codes

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

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