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Organization
DIANA DO-YABUT AND BRYAN WATANABE DENTAL CORPORATION
Active
Organization
DIANA DO-YABUT AND BRYAN WATANABE DENTAL CORPORATION
Active
Other names
Clinton Keith Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN K WATANABE DDS (OWNER DDS)
(951) 304-9700
Entity
Organization
Contact information
Practice address
23905 CLINTON KEITH RD, STE. 108, WILDOMAR, CA 92595-7897
(951) 304-9700
(951) 304-9711
Mailing address
2860 MICHELLE DRIVE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40130
CA
1223G0001X
General Practice Dentistry
49784
CA
1223P0300X
Periodontics
37772
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
50080
CA
Other
Enumeration date
10/03/2006
Last updated
07/02/2012
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