Organization
WATSON DENTAL, LLC
Active
Other names
Lynda R. Watson, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA ROBIN WATSON D.D.S (DENTIST)
(913) 381-4090
Entity
Organization
Contact information
Practice address
11538 W 119TH ST, OVERLAND PARK, KS 66213-2002
(913) 381-4090
(913) 381-4419
Mailing address
11538 W 119TH ST, OVERLAND PARK, KS 66213-2002
(913) 381-4090
(913) 381-4419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6608
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15370032
BLUE CROSS BLUE SHIELD
KS
Enumeration date
08/26/2015
Last updated
08/26/2015
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