Organization
FRED O SAKAMOTO DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LYNN DEPALMA (OPERATIONS MANAGER)
(614) 575-0070
Entity
Organization
Contact information
Practice address
7334 E BROAD ST STE B, BLACKLICK, OH 43004-9239
(614) 575-0070
(614) 575-0068
Mailing address
7334 E BROAD ST STE B, BLACKLICK, OH 43004-9239
(614) 575-0070
(614) 575-0068
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
06/11/2019
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