Individual
DR. ANTHONY J WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2107 E 12TH AVE, WINFIELD, KS 67156-4101
(620) 229-9779
Mailing address
2107 E 12TH AVE, WINFIELD, KS 67156-4101
(620) 229-9779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60165
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100430450-B
—
KS
Enumeration date
12/06/2012
Last updated
12/06/2012
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