| Manchester Dental Group | |
|
1001 Brittany Parkway Dr Manchester MO 63011-4325 | |
| (636) 527-0312 | |
| (636) 527-0314 |
| Full Name | Manchester Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1001 Brittany Parkway Dr, Manchester, Missouri |
| Authorized Official Name and Position | Bryan K Watanabe (OWNER DOCTOR) |
| Authorized Official Contact | 6365270312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manchester Dental Group 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Manchester Dental Group 1001 Brittany Parkway Dr Manchester MO 63011-4325 Ph: (636) 527-0312 |
| NPI Number | 1588051239 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 04/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588051239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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