Individual
BRETT WATANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
513 PARNASSUS AVE # S738, SAN FRANCISCO, CA 94143-2205
(408) 335-3651
Mailing address
110 CHANNEL ST UNIT 421, SAN FRANCISCO, CA 94158-1750
(408) 335-3651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DDS108056
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS108056
CA
Other
Enumeration date
06/24/2022
Last updated
03/24/2026
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