Individual
DR. MAKOTO SAIGUSA
Active
Individual
DR. MAKOTO SAIGUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19097
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
19097
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
K0551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090187801
—
TX
05
—
090187802
—
TX
05
—
090187803
—
TX
05
—
090187804
—
TX
01
—
133237107
CSHCN
TX
Enumeration date
08/30/2006
Last updated
02/23/2023
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