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Individual
DR. DAMON OMAR WATSON
Active
Individual
DR. DAMON OMAR WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401412132
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901018153
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0438000245
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901018153
DENTAL LICENSE NUMBER
MI
Enumeration date
07/06/2007
Last updated
08/02/2018
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