Keith Takashi Watanabe in Los Angeles - Dentist
Keith Takashi Watanabe - NPI 1659591782
Keith Takashi Watanabe is a Dentist in Los Angeles, California. Keith Takashi Watanabe practices all healthcare services and medical treatments related to Dentist. The NPI Number for Keith Takashi Watanabe is 1659591782. The last update date is 2007-07-08.
Keith Takashi Watanabe's current location address is 420 East Third Street Suite 807, Los Angeles, California. You can contact this provider via phone number 2136209906. The mailing address for Keith Takashi Watanabe is 420 East Third Street Suite 807, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Takashi Watanabe |
|---|---|
| Address | 420 East Third Street Suite 807, Los Angeles, California |
| Phone Number | 2136209906 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1659591782 |
|---|---|
| Provider Enumeration Date | 2007-04-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 420 East Third Street Suite 807 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900131647 |
| Phone Number | 2136209906 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 21963 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Keith Takashi Watanabe by the Centers for Medicare & Medicaid Services?
The Keith Takashi Watanabe has been issued the NPI (National Provider Identifier) 1659591782. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Keith Takashi Watanabe's facilities are geographically located?
The facilities of Keith Takashi Watanabe are physically situated at the following location: 420 East Third Street Suite 807, Los Angeles, CA, 900131647.
What is the Keith Takashi Watanabe's area of specialization and corresponding taxonomy classification?
The Keith Takashi Watanabe's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Keith Takashi Watanabe receive the assignment of its 1659591782 from the Centers for Medicare & Medicaid Services?
The Keith Takashi Watanabe was issued its 1659591782 by the Centers for Medicare & Medicaid Services on 2007-04-30.
When was the information regarding Keith Takashi Watanabe, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Keith Takashi Watanabe, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.