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Individual

DR. JOSEPH WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1951 E 79TH ST, CHICAGO, IL 60649-4632
(773) 221-4071
(773) 221-9602
Mailing address
1951 E 79TH ST, CHICAGO, IL 60649-4632
(773) 221-4071
(773) 221-9602

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-023258
IL

Other

Enumeration date
10/19/2005
Last updated
02/06/2012
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