| NPI | 1457445231 |
|---|---|
| Doing Business As | CLINTON KEITH DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BRYAN K WATANABE Owner Dds 951-304-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40130) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 49784) |
| 1223P0300X Dentist, Periodontics (Licence: CA 37772) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 50080) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-07-02 |