| Bryan Watanabe Dds Dental Corporation | |
|
29655 The Old Rd Castaic CA 91384-4570 | |
| (661) 702-8338 | |
| (661) 702-8668 |
| Full Name | Bryan Watanabe Dds Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 29655 The Old Rd, Castaic, California |
| Authorized Official Name and Position | Bryan K Watanabe (OWNER DDS) |
| Authorized Official Contact | 6617028338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Watanabe Dds Dental Corporation 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 508-3600 | Bryan Watanabe Dds Dental Corporation 29655 The Old Rd Castaic CA 91384-4570 Ph: (661) 702-8338 |
| NPI Number | 1518059377 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518059377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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