Jonathan Waters
NPI #1568192920 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1568192920
- Entity Type
- Individual
- Name
- Jonathan Waters
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 16, 2022
- Last Updated
- Jun 16, 2022
Practice Location
- Address
- 2935 HIGHWAY 190
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70471-3298
- Phone
- (985) 727-7030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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