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Organization
WATANABE AND LYNN PROFESSIONAL DENTAL CORPORATION
Active
Organization
WATANABE AND LYNN PROFESSIONAL DENTAL CORPORATION
Active
Other names
OAK GROVE DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN K WATANABE DDS (OWNER DDS)
(951) 471-0034
Entity
Organization
Contact information
Practice address
18285 COLLIER AVE., STE. B, LAKE ELSINORE, CA 92530
(951) 471-0034
(951) 471-0166
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
12/21/2006
Last updated
06/03/2009
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