Clinton Keith Dental Group

LBN: Diana Do-Yabut And Bryan Watanabe Dental Corporation
Clinton Keith Dental Group is an health care organization with primary practice located at 23905 Clinton Keith Rd Ste. 108, Wildomar CA 92595-7897. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Diana Do-Yabut And Bryan Watanabe Dental Corporation can be contacted via phone (951) 304-9700, or through Watanabe, Bryan K via phone (951) 304-9700.

Contact Information

Primary practice address
23905 Clinton Keith Rd Ste. 108 Wildomar CA 92595-7897
Phone: (951) 304-9700
Fax: (951) 304-9711
Website:
Map and Directions
Authorized official contact:
Name: Watanabe, Bryan K Doctor of Dental Surgery (DDS)
Phone: (951) 304-9700

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 40130 California
Dental Providers / General Practice 1223G0001X 49784 California
Dental Providers / Periodontics 1223P0300X 37772 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 50080 California

Profile Details

NPI number 1457445231
LBN Legal business name Diana Do-Yabut And Bryan Watanabe Dental Corporation
DBA Doing business as Clinton Keith Dental Group
Authorized official Watanabe, Bryan K Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 2nd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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