# WATANABE TOWN CENTER DENTAL GROUP, PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MONTECITO TOWN CENTER DENTAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104954833
- **Authorized official:** DR. LYNDA WATANABE (OWNER DOCTOR)
- **Authorized official phone:** (702) 658-2311

## Contact information

- **Practice address:** 7125 N DURANGO DR, LAS VEGAS, NV 89149-4466
- **Practice address phone:** (702) 658-2311
- **Practice address fax:** (702) 658-8811
- **Mailing address:** 2860 MICHELLE DRIVE, 2ND FLOOR, IRVINE, CA 92606-1009
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (949) 474-1495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 08/02/2013