JONATHAN WATERS

MANDEVILLE, LA
NPI1568192920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  7340)
Enumeration Date2022-06-16
Last Update Date2022-06-16
Business Address
JONATHAN WATERS
2935 HIGHWAY 190
MANDEVILLE, LA 70471-3298
Phone number: 985-727-7030
Mailing Address
JONATHAN WATERS
4019 VENDOME PL
NEW ORLEANS, LA 70125-3519
Phone number: 504-957-7289
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