Organization
AUSTIN DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WATSON D.D.S. (DENTIST)
(773) 221-4071
Entity
Organization
Contact information
Practice address
1951 E 79TH ST, CHICAGO, IL 60649-4632
(773) 221-4071
(773) 221-9602
Mailing address
1951 E 79TH ST, CHICAGO, IL 60649-4632
(773) 221-4071
(773) 221-9602
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
060008571
IL
Other
Enumeration date
03/28/2008
Last updated
02/06/2012
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