Individual
DR. KEITH V WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02630335
—
NY
Enumeration date
02/07/2007
Last updated
07/08/2007
Update your record
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