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Organization
DO-YABUT AND WATANABE DENTAL CORPORATION
Active
Organization
DO-YABUT AND WATANABE DENTAL CORPORATION
Active
Other names
Bear Creek Dental Group and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN K WATANABE DDS (OWNER DDS)
(951) 678-0790
Entity
Organization
Contact information
Practice address
36068 HIDDEN SPRINGS RD, SUITE H, WILDOMAR, CA 92595-7679
(951) 678-0790
(951) 678-0796
Mailing address
2860 MICHELLE DRIVE, 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
1223G0001X
General Practice Dentistry
49784
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
38130
CA
Other
Enumeration date
09/22/2006
Last updated
07/05/2012
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