Provider Demographics
NPI:1043318454
Name:SUNADA, VERA AKEMI (DDS)
Entity Type:Individual
Prefix:DR
First Name:VERA
Middle Name:AKEMI
Last Name:SUNADA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:RIO VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:94571-2009
Mailing Address - Country:US
Mailing Address - Phone:707-374-2727
Mailing Address - Fax:707-374-3486
Practice Address - Street 1:139 BRUNING AVE
Practice Address - Street 2:
Practice Address - City:RIO VISTA
Practice Address - State:CA
Practice Address - Zip Code:94571-1809
Practice Address - Country:US
Practice Address - Phone:707-374-2727
Practice Address - Fax:707-374-3486
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA412181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice