Provider Demographics
NPI:1548280514
Name:SAKAI, GARY H (DDS)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:H
Last Name:SAKAI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3031 W MARCH LN STE 130-S
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-6578
Mailing Address - Country:US
Mailing Address - Phone:209-951-0673
Mailing Address - Fax:209-951-0697
Practice Address - Street 1:3031 W MARCH LN STE 130-S
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95219-6578
Practice Address - Country:US
Practice Address - Phone:209-951-0673
Practice Address - Fax:209-951-0697
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice