NPI 1073361127

Philip Wesley Watkins, LD

Practitioner Denturist Twin Falls, ID

Practice location

Address: 414 Shoup Ave W, Twin Falls, ID 83301-5027
Phone: (208) 613-5854
Mailing address: 1457 S 2000 E, Gooding, ID 83330-5124

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence LD-141 (ID)

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Registry record

NPI: 1073361127
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2024
Record last updated: 13 May 2024

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.