Provider Demographics
NPI:1700084050
Name:SATAKE-LEUNG, NORIKO (DDS)
Entity type:Individual
Prefix:
First Name:NORIKO
Middle Name:
Last Name:SATAKE-LEUNG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:BELL
Mailing Address - State:CA
Mailing Address - Zip Code:90201-3646
Mailing Address - Country:US
Mailing Address - Phone:323-562-6700
Mailing Address - Fax:323-562-9209
Practice Address - Street 1:6901 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BELL
Practice Address - State:CA
Practice Address - Zip Code:90201-3646
Practice Address - Country:US
Practice Address - Phone:323-562-6700
Practice Address - Fax:323-562-9209
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-09
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA558541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice