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Organization
WATANABE AND LYNN DENTAL CORPORATION
Active
Organization
WATANABE AND LYNN DENTAL CORPORATION
Active
Other names
MARKETPLACE DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN WATANABE DDS (OWNER DDS)
(951) 245-8664
Entity
Organization
Contact information
Practice address
29273 CENTRAL AVE, STE. A, LAKE ELSINORE, CA 92532-2254
(951) 245-8664
(951) 245-9392
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
10/03/2006
Last updated
06/04/2009
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