# WATT AND CLARK L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467647727
- **Authorized official:** DR. BRIAN R. CLARK D.D.S. (PRESIDENT)
- **Authorized official phone:** (703) 391-2600

## Contact information

- **Practice address:** 1950 ROLAND CLARKE PL, SUITE \# 420, RESTON, VA 20191-1414
- **Practice address phone:** (703) 391-2600
- **Mailing address:** 1950 ROLAND CLARKE PL, SUITE \# 420, RESTON, VA 20191-1414
- **Mailing address phone:** (703) 391-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6580 | VA | Yes |

## Other

- **Enumeration date:** 09/10/2007
- **Last updated:** 09/10/2007