Individual
DR. MICHAEL JOSEPH WATSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11810 GRAVOIS RD, ST LOUIS, MO 63126-0570
(314) 842-5000
Mailing address
11810 GRAVOIS RD, ST LOUIS, MO 63127
(314) 842-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12595
MO
Other
Enumeration date
03/22/2006
Last updated
07/08/2007
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