# ETHEL LEA WATSON, D.M.D., M.A.,P.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** E. Lea Watson, .p.D.M.D.,
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083715387
- **Authorized official:** ETHEL LEA WATSON DMD (DENTIST)
- **Authorized official phone:** (703) 752-2500

## Contact information

- **Practice address:** 6828 COMMERCE ST, SUITE 104, SPRINGFIELD, VA 22150-2639
- **Practice address phone:** (703) 752-2500
- **Practice address fax:** (703) 752-2503
- **Mailing address:** 6828 COMMERCE ST, SUITE 104, SPRINGFIELD, VA 22150-2639
- **Mailing address phone:** (703) 752-2500
- **Mailing address fax:** (703) 752-2503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 08/22/2020