Provider Demographics
NPI:1588662993
Name:SAKAI, EUGENE KATSUMI (DMD, PS)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:KATSUMI
Last Name:SAKAI
Suffix:
Gender:M
Credentials:DMD, PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14508 NE 20TH AVENUE SUITE 301
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686
Mailing Address - Country:US
Mailing Address - Phone:360-696-0041
Mailing Address - Fax:360-693-4416
Practice Address - Street 1:14508 NE 20TH AVENUE SUITE 301
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686
Practice Address - Country:US
Practice Address - Phone:360-696-0041
Practice Address - Fax:360-693-4416
Is Sole Proprietor?:No
Enumeration Date:2005-07-09
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA4038122300000X
WA00004038122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist