Gordon Lee Watson JR. D.D.S. INC

NPI 1083756498 - Dentist - 1223G0001X

NPI Details
NPI 1083756498
Gender Male
Enumeration Date 02/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2150 APPIAN WAY
SUITE 205
PINOLE CA, 94564-2583, US
Phone (510) 724-5363
Fax (510) 724-5391
Business Location
2 SLEEPY HOLLOW CT
ORINDA CA, 94563-1319, US
Phone (925) 254-9379
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 22187
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According to our database, Gordon Lee Watson JR. D.D.S. INC NPI is 1083756498, taxonomy code is 1223G0001X and license number is 22187, license state is located at California. Gordon Lee Watson JR. D.D.S. INC physically located at 2150 Appian Way, Pinole CA, 94564-2583. NPI Number Gordon Lee Watson JR. D.D.S. INC has the Individual type.

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1083756498 NPI number is provided on an as is basis without warranty of any kind. 1083756498 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon Lee Watson JR. D.D.S. INC are for informational purposes only.