Brett Watanabe, DDS, MD
Surgery in San Francisco, CA. Individual provider (NPI-1).
NPI number1558093989
StatusActive
Last updated in NPPESNov 4, 2026
Details
- NPI
- 1558093989
- Entity type
- Individual (NPI-1)
- Name
- Brett Watanabe
- Credential
- DDS, MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2022
- Certification date
- Nov 4, 2026
- Last updated
- Nov 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | PTL22324 | CA | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | DDS108056 | CA | |
| 1223G0001X | Dentist, General Practice | DDS108056 | CA |
Practice location
513 Parnassus Ave # S738San Francisco, CA 94143-2205
Phone 408-335-3651
Mailing address
110 Channel St Unit 421San Francisco, CA 94158-1750
Phone 408-335-3651
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