Organization
WATSON PSC
Active
Parent organization
WATSON PSC
Other names
SMILES ON MEETING STREET
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATSON PSC
Authorized official
DR. KWANE MITCHELL WATSON DMD (OWNER)
(502) 776-1754
Entity
Organization
Contact information
Practice address
10515 MEETING ST, SUITE 104, PROSPECT, KY 40059-6523
(502) 420-2480
(502) 420-2891
Mailing address
10515 MEETING ST, SUITE 104, PROSPECT, KY 40059-6523
(502) 420-2480
(502) 420-2891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7483
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61900346
—
KY
Enumeration date
03/24/2008
Last updated
03/24/2008
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