Individual
JOHN TODD WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
N97W17095 DIVISION RD, GERMANTOWN, WI 53022-4606
(262) 251-5530
(262) 251-5613
Mailing address
W134N6605 LILLY CREEK DR, MENOMONEE FALLS, WI 53051-6058
(262) 252-4161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3129
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3129
DENTAL LICENCE #
WI
Enumeration date
10/18/2005
Last updated
05/19/2010
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