| NPI | 1326131517 |
|---|---|
| Doing Business As | ARLINGTON DENTAL GROUP AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRYAN K WATANABE Owner Dds 951-683-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40130) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 41840) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 42666) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 49975) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-01-23 |