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1124300132
MARISA KAWATA WATANABE
TUSTIN, CA
NPI
1124300132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 58885)
Enumeration Date
2011-09-15
Last Update Date
2011-09-15
Business Address
Dr. MARISA KAWATA WATANABE D.D.S.
1405 MONTGOMERY ST
TUSTIN, CA 92782-1793
Phone number: 714-415-9409
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Mailing Address
Dr. MARISA KAWATA WATANABE D.D.S.
1405 MONTGOMERY ST
TUSTIN, CA 92782-1793
Phone number: 714-415-9409
Copy
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