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NPI Code Detail

MEDICARE: DR. GARY H. SAKAI D.D.S.

MEDICARE: DR. GARY H. SAKAI D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry26122CA

General Provider Information

NPI Number : 1548280514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY H. SAKAI D.D.S.
Provider Business Mailing Address
First Line : 3031 W MARCH LN STE 130-S
Second Line :
City : STOCKTON
State : CA
Zip : 95219-6578
Country : US
Telephone Number : 209-951-0673
Fax Number : 209-951-0697
Provider Business Practice Location Address
First Line : 3031 W MARCH LN STE 130-S
Second Line :
City : STOCKTON
State : CA
Zip : 95219-6578
Country : US
Telephone Number : 209-951-0673
Fax Number : 209-951-0697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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