Gordon Lee Watson,jr.,d.d.s. Inc.

NPI 1417165150 - Dentist - 1223G0001X

NPI Details
NPI 1417165150
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GORDON LEE GORDON
Position PRESIDENT
Phone (510) 724-5363
Fax (510) 724-5391
Practice Location
2150 APPIAN WAY STE 205
PINOLE CA, 94564-2520, US
Phone (510) 724-5363
Fax (510) 724-5391
Business Location
2150 APPIAN WAY STE 205
PINOLE CA, 94564-2520, US
Phone (510) 724-5363
Fax (510) 724-5391
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1417165150 NPI Number
 

According to our database, Gordon Lee Watson,jr.,d.d.s. Inc. NPI is 1417165150, taxonomy code is 1223G0001X Gordon Lee Watson,jr.,d.d.s. Inc. physically located at 2150 Appian Way Ste 205, Pinole CA, 94564-2520. NPI Number 1033115704 has the healthcare provider type.

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1417165150 NPI number is provided on an as is basis without warranty of any kind. 1417165150 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.