Provider Demographics
NPI:1780675157
Name:OKAMOTO-SUBJECT, BARBARA (DDS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:OKAMOTO-SUBJECT
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 1:6134 CALLE REAL
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-2067
Mailing Address - Country:US
Mailing Address - Phone:805-964-2211
Mailing Address - Fax:
Practice Address - Street 1:6134 CALLE REAL
Practice Address - Street 2:SUITE D
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-2066
Practice Address - Country:US
Practice Address - Phone:805-964-2211
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32886122300000X
HIDT1326122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist