Individual
DR. WAYNE G. WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1539 E PLAZA BLVD, NATIONAL CITY, CA 91950-3641
(619) 477-3073
Mailing address
2470 AZURE COAST DR, LA JOLLA, CA 92037-3508
(858) 455-7144
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17405
CA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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