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Organization

MOSES WATSON III, DDS, PA

Active
Other names
Watson Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICOLE SHARISSE LYONS (BUSINESS OFFICE MANAGER)
(919) 688-8949
Entity
Organization

Contact information

Practice address
4601 WESTERN BLVD, RALEIGH, NC 27606-1815
(919) 854-0059
(919) 854-0039
Mailing address
601 FAYETTEVILLE ST, SUITE 100, DURHAM, NC 27701-3910
(919) 688-8949
(919) 688-6068

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6184
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8998941
NC
Enumeration date
05/15/2013
Last updated
05/23/2013
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