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

Mark Watanabe

Individual provider General Practice Dentistry · NPI 1043733660

Mark Watanabe is a General Practice Dentistry in Vallejo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

201 Walnut Ave
Vallejo, CA 94592-1107
Phone: (707) 562-8229
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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 102904 (CA)

Record details

NPI number1043733660
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2017
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020
Mailing address37475 Bay Crest Rd, Newark, CA 94560-3554

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