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Individual

CHRISTIAN WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 851-8110
Mailing address
2649 PEAR ST APT 1, KLAMATH FALLS, OR 97603-3662
(989) 317-6186

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11799
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500822028
OR
Enumeration date
06/05/2023
Last updated
07/30/2024
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