Provider Demographics
NPI:1396074506
Name:SUGAMURA&RICE PLLC
Entity type:Organization
Organization Name:SUGAMURA&RICE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:SUGAMURA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-454-8082
Mailing Address - Street 1:13033 BEL RED RD
Mailing Address - Street 2:STE 220
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2633
Mailing Address - Country:US
Mailing Address - Phone:425-454-8082
Mailing Address - Fax:
Practice Address - Street 1:13033 BEL RED RD
Practice Address - Street 2:STE 220
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2633
Practice Address - Country:US
Practice Address - Phone:425-454-8082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty