Individual
NICHOLAS WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2017
Mailing address
4952 RILEY MEWS, CARMEL, IN 46033-9353
(317) 575-8062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12006541A
IN
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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