Individual
DR. ALVIN SHINICHI WATANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14201 NE 20TH AVE, SUITE 1101, VANCOUVER, WA 98686-6410
(360) 882-0222
(360) 546-3355
Mailing address
14201 NE 20TH AVE STE A101, VANCOUVER, WA 98686-6411
(360) 571-8181
(360) 573-4029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D6001
OR
1223G0001X
General Practice Dentistry
Primary
DE5767
WA
Other
Enumeration date
06/09/2006
Last updated
06/21/2023
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