Individual
DR. GLEN ROBERT WATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
236 ERNSTON RD, SUITE 6, PARLIN, NJ 08859-1926
(732) 525-0049
(732) 525-0089
Mailing address
12 SOUTHWOOD DR, OLD BRIDGE, NJ 08857-1452
(732) 390-6668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02048603
NJ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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