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Watanabe And Lynn Dental Corporation

Dentist, General Practice in Lake Elsinore, CA. Organization (NPI-2).

NPI number1396830790
StatusActive
Last updated in NPPESJun 4, 2009

Details

NPI
1396830790
Entity type
Organization (NPI-2)
Legal business name
Watanabe And Lynn Dental Corporation
Organization subpart
No
Enumeration date
Oct 3, 2006
Last updated
Jun 4, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Marketplace Dental Group (Doing Business As)

Practice location

29273 Central Ave
Ste. A
Lake Elsinore, CA 92532-2254

Phone 951-245-8664 · Fax 951-245-9392

Mailing address

2860 Michelle
2nd Floor
Irvine, CA 92606-1009

Phone 714-508-3600 · Fax 714-368-2092

Authorized official

Bryan Watanabe
Owner DDS
9512458664

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