| Gateway Dental Group Of Riverside | |
|
10286 Indiana Ave Riverside CA 92503-5357 | |
| (951) 359-5200 | |
| (951) 359-5202 |
| Full Name | Gateway Dental Group Of Riverside |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10286 Indiana Ave, Riverside, California |
| Authorized Official Name and Position | Bryan K Watanabe (OWNER DDS) |
| Authorized Official Contact | 9513595200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Dental Group Of Riverside 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 508-3600 | Gateway Dental Group Of Riverside 10286 Indiana Ave Riverside CA 92503-5357 Ph: (951) 359-5200 |
| NPI Number | 1326143256 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 10/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326143256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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