Provider Demographics
NPI:1114932563
Name:SATO, NORIHISA (DDS)
Entity Type:Individual
Prefix:
First Name:NORIHISA
Middle Name:
Last Name:SATO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 BARRANCA PARKWAY
Mailing Address - Street 2:#110
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604
Mailing Address - Country:US
Mailing Address - Phone:949-654-5554
Mailing Address - Fax:949-654-5553
Practice Address - Street 1:4950 BARRANCA PARKWAY
Practice Address - Street 2:#110
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604
Practice Address - Country:US
Practice Address - Phone:949-654-5554
Practice Address - Fax:949-654-5553
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53169122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist