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Organization
RYAN WATKINS DDS INC.
Active
Organization
RYAN WATKINS DDS INC.
Active
Other names
Dreamtime Dentistry Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN PATRICK WATKINS D.D.S. (PRESIDENT)
(805) 405-4975
Entity
Organization
Contact information
Practice address
950 VISTA VILLAGE DR, VISTA, CA 92084-6064
(760) 274-0993
Mailing address
950 VISTA VILLAGE DR, VISTA, CA 92084-6064
(760) 720-0451
(866) 779-9096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52130
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PQ8456
SAN DIEGO REGIONAL CENTER
CA
Enumeration date
02/16/2011
Last updated
10/27/2023
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