Individual
DR. JARED ANDREW WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1980 US 1 S, ST AUGUSTINE, FL 32086-4233
(904) 797-4833
Mailing address
1132 BUCKBEAN BRANCH LN E, SAINT JOHNS, FL 32259-4351
(904) 657-9212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19961
FL
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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