Individual
DR. THOMAS WORRALL WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
839 S AUTO MALL RD, SUITE F, BLOOMINGTON, IN 47401-5484
(812) 339-4400
(812) 323-2230
Mailing address
839 S AUTO MALL RD, SUITE F, BLOOMINGTON, IN 47401-5484
(812) 339-4400
(812) 323-2230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007821
IN
Other
Enumeration date
09/13/2006
Last updated
07/09/2007
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