Provider Demographics
NPI:1932539905
Name:SABURO KAMI, D.D.S., INC.
Entity Type:Organization
Organization Name:SABURO KAMI, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:
Authorized Official - Last Name:YAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-751-1110
Mailing Address - Street 1:3633 CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1701
Mailing Address - Country:US
Mailing Address - Phone:415-751-1110
Mailing Address - Fax:415-751-1108
Practice Address - Street 1:3633 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1701
Practice Address - Country:US
Practice Address - Phone:415-751-1110
Practice Address - Fax:415-751-1108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1700903283OtherGENERAL DENTISTRY