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Search › California › General Practice Dentistry

Mark Watanabe

NPI 1043733660 · on the registry since 2017 · sole proprietor

Practice

Address
201 Walnut Ave
Vallejo, CA 94592
Phone
(707) 562-8229
Organisation at this address
Martinez Vamc
Martinez Vamc
Veterans Administration
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California