Individual
AMBER ANN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
331 S MAIN ST, VIRGINIA, IL 62691-1571
(217) 452-3057
Mailing address
614 N GILBERT ST, DANVILLE, IL 61832-3940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030509
IL
Other
Enumeration date
11/02/2015
Last updated
05/04/2021
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