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Organization
WATANABE AND TO DENTAL CORPORATION
Active
Organization
WATANABE AND TO DENTAL CORPORATION
Active
Other names
GATEWAY DENTAL GROUP OF RIVERSIDE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN K WATANABE DDS (OWNER DDS)
(951) 359-5200
Entity
Organization
Contact information
Practice address
10286 INDIANA AVE, RIVERSIDE, CA 92503-5357
(951) 359-5200
(951) 359-5202
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
—
—
Other
Enumeration date
09/14/2006
Last updated
10/08/2009
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