Individual
DR. BRYAN K WATANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 508-3600
(714) 368-2092
Mailing address
40770 CALIFORNIA OAKS RD, MURRIETA, CA 92562-5727
(951) 677-3078
(951) 600-0498
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40130
CA
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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