Mark Watanabe

General Practice Dentistry · Vallejo, CA

Individual Active NPI

NPI number 1043733660

Practice location

201 Walnut Ave
Vallejo, CA 94592-1107
Phone
(707) 562-8229

Open in Google Maps

NPI record

NPI
1043733660
Entity type
Individual (Type 1)
Enumeration date
July 25, 2017
Last updated
June 24, 2020
Certified
June 24, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 102904 CA

Mailing address

37475 Bay Crest Rd
Newark, CA 94560-3554

About Mark Watanabe

Mark Watanabe is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 201 Walnut Ave, Vallejo, CA 94592-1107. The NPI number 1043733660 was assigned on July 25, 2017 and the record was last updated on June 24, 2020.

Mark Watanabe lists a license in the registry: #102904 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Watanabe?

The NPI number is 1043733660.

What is the phone number of Mark Watanabe?

The phone number listed for the practice location is (707) 562-8229.

Where is Mark Watanabe located?

201 Walnut Ave, Vallejo, CA 94592-1107.

What is the taxonomy code for Mark Watanabe?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Vallejo

All General Practice Dentistry providers in Vallejo, CA →