Organization
DR. AICO H. WATANABE, D.D.S.
Active
Other names
Aico's Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AICO H WATANABE DDS (OWNER)
(440) 835-3109
Entity
Organization
Contact information
Practice address
28899 CENTER RIDGE ROAD #300, WESTLAKE, OH 44145
(440) 835-3109
(440) 835-3180
Mailing address
28899 CENTER RIDGE ROAD #300, WESTLAKE, OH 44145
(440) 835-3109
(440) 835-3180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19899
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0935911
—
OH
Enumeration date
11/19/2007
Last updated
05/30/2023
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