Dental Board of California
Licensing details for: 6711
Name: PLAZA DENTAL GROUP, BRYAN WATANABE PROF. DENTAL CORP.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: PLAZA DENTAL GROUP, BRYAN WATANABLE PROFESSIONAL DENTAL CORPORATION
Address of Record
40484 MURRIETA HOT SPRINGS RD.
STE. 102
MURRIETA CA 92563
RIVERSIDE county
Map
License Relationships
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: WATANABE, BRYAN KAZUMI
License/Registration Type: Dentist License
License Number: 40130 Primary Status: Current - Active
Address :
40760 California Oaks Rd.
MURRIETA CA 92562
RIVERSIDE COUNTY
