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Organization
NGUYEN AND WATANABE DENTAL CORPORATION
Active
Organization
NGUYEN AND WATANABE DENTAL CORPORATION
Active
Other names
Arlington Dental Group and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN K WATANABE DDS (OWNER DDS)
(951) 683-6055
Entity
Organization
Contact information
Practice address
3297 ARLINGTON AVE, STE. 101, RIVERSIDE, CA 92506-3249
(951) 683-6055
(951) 683-5819
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40130
CA
1223P0300X
Periodontics
41840
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
42666
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
49975
CA
Other
Enumeration date
10/02/2006
Last updated
01/23/2012
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