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24635 Madison Ave Ste. E Murrieta CA 92562-7556 | |
| (951) 600-1062 | |
| (951) 600-1476 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24635 Madison Ave, Murrieta, California |
| Authorized Official Name and Position | Bryan K Watanabe (OWNER DDS) |
| Authorized Official Contact | 9516001062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 24635 Madison Ave Ste. E Murrieta CA 92562-7556 Ph: (951) 600-1062 |
| NPI Number | 1336231190 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336231190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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