| NPI | 1518311026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M. WATANABE Densits/Owner 949-751-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54968) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |