Provider Demographics
NPI:1629178421
Name:SAAKOVA, EUGENIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:EUGENIA
Middle Name:
Last Name:SAAKOVA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6819 LONETREE BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-5877
Mailing Address - Country:US
Mailing Address - Phone:916-771-2724
Mailing Address - Fax:
Practice Address - Street 1:6819 LONETREE BLVD STE 106
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-5877
Practice Address - Country:US
Practice Address - Phone:916-771-2724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA496561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice