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Organization
WATANABE DENTAL CORPORATION
Active
Organization
WATANABE DENTAL CORPORATION
Active
Other names
MURRIETA DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN K WATANABE DDS (OWNER DDS)
(951) 696-5660
Entity
Organization
Contact information
Practice address
25395 MADISON AVE, STE. 103, MURRIETA, CA 92562-9003
(951) 696-5660
(951) 696-5632
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
11/12/2009
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