Individual
DESTON MAKOA MITSU WATANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
13311 GARDEN GROVE BLVD STE B, GARDEN GROVE, CA 92843-2202
(714) 621-0327
Mailing address
2710 KELVIN AVE APT 2205, IRVINE, CA 92614-5875
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC37539
CA
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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