| NPI | 1952465148 |
|---|---|
| Doing Business As | OAK GROVE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BRYAN K WATANABE Owner Dds 951-471-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-06-03 |