Organization
BRYAN WATANABE DDS LIBERTY DENTAL GROUP PC
Active
Other names
Liberty Oaks Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN K WATANABE DDS (OWNER)
(816) 728-2979
Entity
Organization
Contact information
Practice address
8291 N BOOTH AVENUE, KANSAS CITY, MO 64158
(816) 728-2979
(816) 415-3286
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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