NPI 1083715387

Ethel Lea Watson, D.M.D., M.A.,p.C

Organisation General Practice Dentistry Springfield, VA

Practice location

Address: 6828 Commerce St Suite 104, Springfield, VA 22150-2639
Phone: (703) 752-2500
Fax: (703) 752-2503

Authorised official

Name: Ethel Lea Watson
Title: Dentist
Phone: (703) 752-2500

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1083715387
Entity type: Organization
NPI issued: 26 Sep 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.