| Gordon Lee Watson,jr.,d.d.s. Inc. | |
|
2150 Appian Way Ste 205 Pinole CA 94564-2520 | |
| (510) 724-5363 | |
| (510) 724-5391 |
| Full Name | Gordon Lee Watson,jr.,d.d.s. Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2150 Appian Way Ste 205, Pinole, California |
| Authorized Official Name and Position | Gordon Lee Watson (PRESIDENT) |
| Authorized Official Contact | 5107245363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Lee Watson,jr.,d.d.s. Inc. 2150 Appian Way Ste 205 Pinole CA 94564-2520 Ph: (510) 724-5363 | Gordon Lee Watson,jr.,d.d.s. Inc. 2150 Appian Way Ste 205 Pinole CA 94564-2520 Ph: (510) 724-5363 |
| NPI Number | 1417165150 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417165150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (California) | Primary |
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