NPI | 1336231190 |
---|---|
Doing Business As | MY KIDS DENTIST DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | BRYAN K WATANABE Owner Dds 951-600-1062 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-09-29 |
Last Update Date | 2013-08-19 |