Individual
BRIAN J WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1113 MAIN ST, BASTROP, TX 78602-3218
(512) 332-2353
(512) 332-2620
Mailing address
1113 MAIN ST, BASTROP, TX 78602-3218
(512) 332-2353
(512) 332-2620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17310
TX
Other
Enumeration date
10/05/2006
Last updated
04/05/2023
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