Organization
BRYAN WATANABE DDS LADUE DENTAL GROUP, PC
Active
Other names
Ladue Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN K WATANABE DDS (OWNER)
(314) 983-8011
Entity
Organization
Contact information
Practice address
8859 LADUE ROAD, LADUE, MO 63124
(314) 983-8011
(314) 983-8112
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 945-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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