Individual provider · Type 1 NPI
Jennifer Leigh Watters, DDS
Periodontics · San Francisco, CA
NPI number
1750463246
Active
Practice location
2299 19th Avenune
San Francisco, CA 94116
Fax (415) 665-0219
Mailing address
248 Granada Dr
Corte Madera, CA 94925-2010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 39576 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1750463246
Jennifer Leigh Watters, DDS's National Provider Identifier is 1750463246, issued on Oct 20, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Francisco, CA. The record was last updated on Jul 8, 2007.