Individual
BENJAMIN THOMAS WATSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
729 THIMBLE SHOALS BLVD, SUITE 7E, NEWPORT NEWS, VA 23606-4217
(757) 873-3322
(757) 873-8407
Mailing address
729 THIMBLE SHOALS BLVD, SUITE 7E, NEWPORT NEWS, VA 23606-4217
(757) 873-3322
(757) 873-8407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006222
VA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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