Organization
GARRETT R. KAWATA, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRETT KAWATA DDS (OWNER)
(951) 736-7846
Entity
Organization
Contact information
Practice address
854 MAGNOLIA AVE STE A, CORONA, CA 92879-3109
(951) 736-7846
Mailing address
854 MAGNOLIA AVE STE A, CORONA, CA 92879-3109
(951) 736-7846
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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