Lynda R. Watson, Llc | |
11538 W 119th St Overland Park KS 66213-2002 | |
(913) 381-4090 | |
(913) 381-4419 |
Full Name | Lynda R. Watson, Llc |
---|---|
Speciality | Dentist |
Location | 11538 W 119th St, Overland Park, Kansas |
Authorized Official Name and Position | Lynda Robin Watson (DENTIST) |
Authorized Official Contact | 9133814090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lynda R. Watson, Llc 11538 W 119th St Overland Park KS 66213-2002 Ph: (913) 381-4090 | Lynda R. Watson, Llc 11538 W 119th St Overland Park KS 66213-2002 Ph: (913) 381-4090 |
NPI Number | 1679940647 |
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Provider Enumeration Date | 08/26/2015 |
Last Update Date | 08/26/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679940647 | NPI | - | NPPES |
15370032 | Other | KS | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6608 (Kansas) | Primary |
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