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Organization

WATANABE SHADOW MOUNTAIN DENTAL GROUP, PROFESSIONAL CORPORATION

Active
Other names
SHADOW MOUNTAIN DENTAL GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYNDA C WATANABE DDS (OWNER DOCTOR)
(702) 577-1941
Entity
Organization

Contact information

Practice address
6525 N DECATUR BLVD, SUITE 150, LAS VEGAS, NV 89131
(702) 577-1941
(702) 395-7813
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
11/06/2007
Last updated
11/07/2007
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