Provider Demographics
NPI:1356453898
Name:CATAQUIZ, EUGENE D III (DMD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:D
Last Name:CATAQUIZ
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11288 ARBORSIDE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-1561
Mailing Address - Country:US
Mailing Address - Phone:619-472-0400
Mailing Address - Fax:
Practice Address - Street 1:1035 HARBISON AVE
Practice Address - Street 2:STE. A
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-3919
Practice Address - Country:US
Practice Address - Phone:619-472-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA470511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice