| Waterhouse Family Dental, Inc. | |
|
16055 Sw Regatta Ln Ste 800 Beaverton OR 97006-8303 | |
| (503) 614-0454 | |
| (503) 614-9874 |
| Full Name | Waterhouse Family Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16055 Sw Regatta Ln, Beaverton, Oregon |
| Authorized Official Name and Position | Mohammad H Fotouhi (DENTIST) |
| Authorized Official Contact | 5036140454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterhouse Family Dental, Inc. 16055 Sw Regatta Ln Ste 800 Beaverton OR 97006-8303 Ph: (503) 614-0454 | Waterhouse Family Dental, Inc. 16055 Sw Regatta Ln Ste 800 Beaverton OR 97006-8303 Ph: (503) 614-0454 |
| NPI Number | 1437323839 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437323839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7425 (Oregon) | Primary |
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