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Individual

DR. PHILLIP E. WATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2056 S SHERIDAN AVE, SHERIDAN, WY 82801-6105
(307) 672-2421
Mailing address
2056 S SHERIDAN AVE, SHERIDAN, WY 82801-6105
(307) 672-2421

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
814
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
117446100
TITLE 19
WY
Enumeration date
11/17/2005
Last updated
02/05/2016
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