Individual
DR. ALLIE ELIZABETH WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
414 ROSS ST, OAK GROVE, LA 71263-9727
(318) 428-4255
Mailing address
1514 FAIRVIEW AVE, MONROE, LA 71201-3314
(318) 348-6483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6884
LA
Other
Enumeration date
06/09/2018
Last updated
06/09/2018
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