| NPI | 1598802977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN T. WATSON Owner 757-873-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006222) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-06-16 |