| NPI | 1083715387 | 
|---|---|
| Doing Business As | E. LEA WATSON, .P.D.M.D., | 
| Entity Type | Organization | 
| Authorized Contact | ETHEL LEA WATSON Dentist 703-752-2500  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2006-09-26 | 
| Last Update Date | 2020-08-22 |