MEDICARE: DR. KATSUNA VICTOR KATO DDS

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
1	1223G0001X	General Practice Dentistry	22994	CA

General Provider Information

NPI Number	:	1629277090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATSUNA VICTOR KATO DDS

Provider Business Mailing Address
First Line	:	PO BOX 5386
Second Line	:	605 NORTH A STREET
City	:	OXNARD
State	:	CA
Zip	:	93031-5386
Country	:	US
Telephone Number	:	805-485-1911
Fax Number	:

Provider Business Practice Location Address
First Line	:	605 NORTH A STREET
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-4907
Country	:	US
Telephone Number	:	805-485-1911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2007
Last Update Date	:	07/16/2007

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