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Raymond A Waller, DDS
General Practice Dentistry in Clarkston, Washington
NPI 1922176528

Raymond A Waller is a General Practice Dentistry based in Clarkston, WA and is specialized in General Practice. Raymond A Waller practices in Clarkston, WA and has the professional credentials of DDS. The NPI Number for Raymond A Waller is 1922176528 and holds a License No. DE00007388 (Washington).

The current practice location address for Raymond A Waller is 1303 16Th Ave, Clarkston, WA and can be reached out via phone at 509-758-7150 and via fax at 509-758-8346.

Location: 1303 16Th Ave, Clarkston, WA, 99403-2956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922176528
Provider Name
Raymond A Waller
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1303 16Th Ave, Clarkston, WA, 99403-2956
Phone Number
509-758-7150
Fax Number
509-758-8346
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5020086 05 WA
institution
Provider Business Practice Location Address Details
Address
1303 16Th Ave
City
Clarkston
State
Washington
Zip
99403-2956
Phone Number
509-758-7150
Fax Number
509-758-8346
person
Provider Business Mailing Address Details
Address
1303 16Th Ave
City
Clarkston
State
Washington
Zip
99403-2956
Phone Number
509-758-7150
Fax Number
509-758-8346
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE00007388 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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