Individual
JILL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(372) 579-8761
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(372) 579-8761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414943
VA
Other
Enumeration date
02/11/2015
Last updated
07/28/2023
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