Provider Demographics
NPI:1225885775
Name:OGATA, ANNA RIE (DDS)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:RIE
Last Name:OGATA
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 1:13332 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7309
Mailing Address - Country:US
Mailing Address - Phone:562-924-8342
Mailing Address - Fax:562-924-9232
Practice Address - Street 1:13332 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-7309
Practice Address - Country:US
Practice Address - Phone:562-924-8342
Practice Address - Fax:562-924-9232
Is Sole Proprietor?:No
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1095721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice