Irvin Bruno Watkins D.D.S

NPI 1033359674 - Dentist - 1223G0001X

NPI Details
NPI 1033359674
Gender Male
Enumeration Date 02/23/2009
Last Updated 02/23/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1411 E. 53RD STREET
2ND FLOOR
CHICAGO IL, 60615-4542, US
Phone (773) 752-1234
Fax (773) 752-4321
Business Location
1411 E. 53RD STREET
2ND FLOOR
CHICAGO IL, 60615-4542, US
Phone (773) 752-1234
Fax (773) 752-4321
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 19A14703
Remove 1033359674 NPI Number
 

According to our database, Dr. Irvin Bruno Watkins D.D.S NPI is 1033359674, taxonomy code is 1223G0001X and license number is 19A14703, license state is located at Illinois. Irvin Bruno Watkins D.D.S physically located at 1411 E. 53rd Street, Chicago IL, 60615-4542. NPI Number Irvin Bruno Watkins D.D.S has the Individual type.

Sponsored links

1033359674 NPI number is provided on an as is basis without warranty of any kind. 1033359674 is maintained by the National Plan & Provider Enumeration System. The contents of Irvin Bruno Watkins D.D.S are for informational purposes only.