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Organization

NORTHSIDE FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLINTON M WATSON DDS (GENERAL DENTISTRY)
(478) 475-1976
Entity
Organization

Contact information

Practice address
3298 NORTHSIDE DR, MACON, GA 31210-2553
(478) 475-1976
(478) 475-1946
Mailing address
3298 NORTHSIDE DR, MACON, GA 31210-2553
(478) 475-1976
(478) 475-1946

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
09/10/2008
Last updated
09/10/2008
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