Individual
DR. ALLISON KAWATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
854 MAGNOLIA AVE STE A, CORONA, CA 92879-3109
(951) 736-7846
Mailing address
854 MAGNOLIA AVE STE A, CORONA, CA 92879-3109
(951) 736-7846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104732
CA
Other
Enumeration date
08/09/2021
Last updated
02/16/2022
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