| Bryan Watanabe Dds Ladue Dental Group, Pc | |
|
8859 Ladue Road Ladue MO 63124 | |
| (314) 983-8011 | |
| (314) 983-8112 |
| Full Name | Bryan Watanabe Dds Ladue Dental Group, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8859 Ladue Road, Ladue, Missouri |
| Authorized Official Name and Position | Bryan K Watanabe (OWNER) |
| Authorized Official Contact | 3149838011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Watanabe Dds Ladue Dental Group, Pc 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 945-8890 | Bryan Watanabe Dds Ladue Dental Group, Pc 8859 Ladue Road Ladue MO 63124 Ph: (314) 983-8011 |
| NPI Number | 1851784490 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 03/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851784490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |