BRYAN KAZUMI WATANABE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

Title

DMD

First Name

BRYAN

Middle

KAZUMI

Last Name

WATANABE

Business Name

BRYAN KAZUMI WATANABE DMD

Original Issue Date

08/01/2019

Effective Date

06/03/2024

Expiration Date

09/30/2027

City

RIVERSIDE

State

Zip

92506

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/03/2024