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Dr. Marisa Kawata Watanabe, DDS
General Practice Dentistry in Tustin, California
NPI 1124300132

Marisa Kawata Watanabe is a General Practice Dentistry based in Tustin, CA and is specialized in General Practice. Marisa Kawata Watanabe practices in Tustin, CA and has the professional credentials of DDS. The NPI Number for Marisa Kawata Watanabe is 1124300132 and holds a License No. 58885 (California).

The current practice location address for Marisa Kawata Watanabe is 1405 Montgomery St, Tustin, CA and can be reached out via phone at 714-415-9409.

Location: 1405 Montgomery St, Tustin, CA, 92782-1793
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124300132
Provider Name
Marisa Kawata Watanabe
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1405 Montgomery St, Tustin, CA, 92782-1793
Phone Number
714-415-9409
Fax Number
Provider Enumeration Date
09/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1405 Montgomery St
City
Tustin
State
California
Zip
92782-1793
Phone Number
714-415-9409
Fax Number
person
Provider Business Mailing Address Details
Address
1405 Montgomery St
City
Tustin
State
California
Zip
92782-1793
Phone Number
714-415-9409
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
58885 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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