Ethel Lea Watson, D.m.d., M.a.,p.c
NPI #1083715387 in Springfield, Virginia
Provider Information
- NPI Number
- 1083715387
- Entity Type
- Organization
- Organization Name
- Ethel Lea Watson, D.m.d., M.a.,p.c
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 26, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6828 COMMERCE ST
- Address 2
- SUITE 104
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22150-2639
- Phone
- (703) 752-2500
Authorized Official
- Name
- ETHEL LEA WATSON, DMD
- Title
- DENTIST
- Phone
- (703) 752-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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