MEDICARE: DR. KATHLEEN SATURAY 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	55492	CA

General Provider Information

NPI Number	:	1891918470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN SATURAY DDS

Provider Business Mailing Address
First Line	:	3222 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3305
Country	:	US
Telephone Number	:	206-934-0477
Fax Number	:	206-939-5556

Provider Business Practice Location Address
First Line	:	3222 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3305
Country	:	US
Telephone Number	:	206-934-0477
Fax Number	:	206-939-5556

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

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	04/05/2022

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