Organization
BRYAN WATANABE DDS MANCHESTER DENTAL GROUP, PC
Active
Other names
Manchester Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN K WATANABE DDS (OWNER DOCTOR)
(636) 527-0312
Entity
Organization
Contact information
Practice address
1001 BRITTANY PARKWAY DR, MANCHESTER, MO 63011-4325
(636) 527-0312
(636) 527-0314
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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