NPI 1013027127

Sally Lutrick Waters, DMD

Practitioner Dentist Ruidoso, NM

Practice location

Address: 1098 Mechem Drive, Ruidoso, NM 88345
Phone: (505) 258-3388
Fax: (505) 258-4468
Mailing address: PO Box 473, Ruidoso, NM 88355-0473

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence NM1316 (NM)

Other Dentist providers in New Mexico →

Registry record

NPI: 1013027127
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.