Individual
DR. MARK DOUGLAS WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1511 PAYNE AVENUE, ST. PAUL, MN 55130
(651) 776-2708
(651) 778-0380
Mailing address
1511 PAYNE AVENUE, ST. PAUL, MN 55130
(651) 776-2708
(651) 778-0380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MN 8539
MN
Other
Enumeration date
07/19/2006
Last updated
02/15/2017
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