Mark Watanabe
NPI #1043733660 in Vallejo, California
Provider Information
- NPI Number
- 1043733660
- Entity Type
- Individual
- Name
- Mark Watanabe
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 25, 2017
- Last Updated
- Jun 24, 2020
Practice Location
- Address
- 201 WALNUT AVE
- City
- Vallejo
- State
- California
- ZIP Code
- 94592-1107
- Phone
- (707) 562-8229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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