Individual
DR. FRED OSAMU SAKAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7334 E BROAD ST, BLACKLICK, OH 43004-9239
(614) 575-0070
(614) 575-0068
Mailing address
3060 LEWIS CENTER RD, LEWIS CENTER, OH 43035-9207
(740) 548-4622
(740) 548-2338
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30016951
OH
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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