Provider Demographics
NPI:1164727350
Name:SADAME MANAGEMENT LLC
Entity Type:Organization
Organization Name:SADAME MANAGEMENT LLC
Other - Org Name:7TH STREET DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:OISHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-993-9600
Mailing Address - Street 1:770 E THUNDERBIRD RD
Mailing Address - Street 2:SUITE# A
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-5307
Mailing Address - Country:US
Mailing Address - Phone:602-993-9600
Mailing Address - Fax:602-942-0739
Practice Address - Street 1:770 E THUNDERBIRD RD
Practice Address - Street 2:SUITE# A
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-5307
Practice Address - Country:US
Practice Address - Phone:602-993-9600
Practice Address - Fax:602-942-0739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty