Individual
DR. CLIFF PATRICK WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
105 EAST MILLER STREET, DILLEY, TX 78017
(830) 965-1696
(830) 965-1696
Mailing address
PO BOX 21, DILLEY, TX 78017-0021
(830) 965-1696
(830) 965-1696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091044001
—
TX
05
—
091044003
—
TX
Enumeration date
02/27/2007
Last updated
12/02/2016
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