Provider Demographics
NPI:1629277090
Name:KATO, KATSUNA VICTOR (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATSUNA
Middle Name:VICTOR
Last Name:KATO
Suffix:
Gender:M
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:PO BOX 5386
Mailing Address - Street 2:605 NORTH A STREET
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93031-5386
Mailing Address - Country:US
Mailing Address - Phone:805-485-1911
Mailing Address - Fax:
Practice Address - Street 1:605 NORTH A STREET
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-4907
Practice Address - Country:US
Practice Address - Phone:805-485-1911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA229941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice