Individual
DR. ETSUKO WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3302 GASTON AVE, STE 203H, DALLAS, TX 75246-2013
(214) 828-8133
(214) 874-4506
Mailing address
3302 GASTON AVE, STE 203H, DALLAS, TX 75246-2013
(214) 828-8133
(214) 874-4506
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
F21796
TX
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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