Provider Demographics
NPI:1174647010
Name:SAIKOU MANAGEMENT
Entity Type:Organization
Organization Name:SAIKOU MANAGEMENT
Other - Org Name:BAKER FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MACK
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:480-231-7020
Mailing Address - Street 1:500 W SOUTHERN AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-5016
Mailing Address - Country:US
Mailing Address - Phone:480-962-0900
Mailing Address - Fax:480-833-3336
Practice Address - Street 1:3509 E ROCKY SLOPE DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-7094
Practice Address - Country:US
Practice Address - Phone:480-231-7020
Practice Address - Fax:480-704-2272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty