Watson Psc

NPI #1912179516 in Prospect, Kentucky

Provider Information

NPI Number
1912179516
Entity Type
Organization
Organization Name
Watson Psc
Subpart
Yes (part of a larger organization)
Parent Organization
WATSON PSC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 24, 2008
Last Updated
Mar 24, 2008

Practice Location

Address
10515 MEETING ST
Address 2
SUITE 104
ZIP Code
40059-6523
Phone
(502) 420-2480

Authorized Official

Name
DR. KWANE MITCHELL WATSON, DMD
Title
OWNER
Phone
(502) 776-1754

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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