Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marisa Kawata Watanabe, DDS

Individual provider General Practice Dentistry · NPI 1124300132

Dr. Marisa Kawata Watanabe, DDS is a General Practice Dentistry in Tustin, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1405 Montgomery St
Tustin, CA 92782-1793
Phone: (714) 415-9409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 58885 (CA)

Record details

NPI number1124300132
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 15, 2011
Last updated in NPPESSeptember 15, 2011

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