Individual
MRS. AMY SULLIVAN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
603 WEST NASH STREET, WILSON, NC 27893
(252) 237-5124
Mailing address
1132 BRANCH ST, WILSON, NC 27893
(252) 237-8440
(252) 237-5125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8202
NC
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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