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NPI Code Detail

MEDICARE: DR. CAMILLE SATA DMD

MEDICARE: DR. CAMILLE SATA DMD
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
11223P0221XPediatric Dentistry06389WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1768762OTHERWACONCORDIA PROVIDER ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578536710
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAMILLE SATA DMD
Provider Business Mailing Address
First Line : 7900 E GREENLAKE DR N
Second Line : #210
City : SEATTLE
State : WA
Zip : 98103-4818
Country : US
Telephone Number : 206-522-1565
Fax Number :
Provider Business Practice Location Address
First Line : 7900 E GREENLAKE DR N
Second Line : #210
City : SEATTLE
State : WA
Zip : 98103-4818
Country : US
Telephone Number : 206-522-1565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 07/09/2007

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