| E. Lea Watson, .p.d.m.d., | |
|
6828 Commerce St Suite 104 Springfield VA 22150-2639 | |
| (703) 752-2500 | |
| (703) 752-2503 |
| Full Name | E. Lea Watson, .p.d.m.d., |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6828 Commerce St, Springfield, Virginia |
| Authorized Official Name and Position | Ethel Lea Watson (DENTIST) |
| Authorized Official Contact | 7037522500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E. Lea Watson, .p.d.m.d., 6828 Commerce St Suite 104 Springfield VA 22150-2639 Ph: (703) 752-2500 | E. Lea Watson, .p.d.m.d., 6828 Commerce St Suite 104 Springfield VA 22150-2639 Ph: (703) 752-2500 |
| NPI Number | 1083715387 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083715387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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