Bryan Watanabe DDS Manchester Dental Group, PC

NPI #1588051239 in Manchester, Missouri

Provider Information

NPI Number: 1588051239
Entity Type: Organization
Organization Name: Bryan Watanabe DDS Manchester Dental Group, PC
Primary Specialty: Dentist
Enumeration Date: Apr 21, 2015
Last Updated: Apr 21, 2015

Practice Location

Address: 1001 BRITTANY PARKWAY DR
City: Manchester
State: Missouri
ZIP Code: 63011-4325
Phone: (636) 527-0312

Authorized Official

Name: DR. BRYAN K WATANABE, DDS
Title: OWNER DOCTOR
Phone: (636) 527-0312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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