MEDICARE: DR. SACHIYO KAWAGUCHI CHAMBERS 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
1	1223G0001X	General Practice Dentistry	58585	CA
2	1223P0300X	Periodontics	58585	CA

General Provider Information

NPI Number	:	1881924983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SACHIYO KAWAGUCHI CHAMBERS D.D.S.

Provider Business Mailing Address
First Line	:	429 SAGECREST DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1227
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3698 CHAMBERS PASS BLDG 3611
Second Line	:
City	:	FORT SAM HOUSTON
State	:	TX
Zip	:	78234-7766
Country	:	US
Telephone Number	:	210-221-0826
Fax Number	:

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

Provider Enumeration Date	:	01/12/2010
Last Update Date	:	07/28/2023

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