Organization
LYNDA WATANABE PROFESSIONAL DENTAL CORPORATION
Active
Other names
GROVE DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNDA C WATANABE DDS (OWNER DDS)
(951) 776-1330
Entity
Organization
Contact information
Practice address
8735 TRAUTWEIN RD, RIVERSIDE, CA 92508-9474
(951) 776-1330
(951) 776-1388
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
40116
CA
1223P0300X
Periodontics
51562
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
44139
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
49975
CA
Other
Enumeration date
09/22/2006
Last updated
09/11/2025
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