Provider Demographics
NPI:1861883035
Name:SAKAI, EUGENE M
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:M
Last Name:SAKAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 MONTPELIER DR STE A
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1681
Mailing Address - Country:US
Mailing Address - Phone:408-258-0373
Mailing Address - Fax:
Practice Address - Street 1:2331 MONTPELIER DR STE A
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1681
Practice Address - Country:US
Practice Address - Phone:408-258-0373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18003122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist