Provider Demographics
NPI:1104379080
Name:EUGENE K SAKAI DMD, PS
Entity Type:Organization
Organization Name:EUGENE K SAKAI DMD, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRON
Authorized Official - Suffix:
Authorized Official - Credentials:RDA
Authorized Official - Phone:360-696-0041
Mailing Address - Street 1:14508 NE 20TH AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-6418
Mailing Address - Country:US
Mailing Address - Phone:360-696-0041
Mailing Address - Fax:360-963-4416
Practice Address - Street 1:14508 NE 20TH AVE STE 301
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-6418
Practice Address - Country:US
Practice Address - Phone:360-696-0041
Practice Address - Fax:360-963-4416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty