Provider Demographics
NPI:1912166612
Name:SAIKI, BRYAN H (DDS)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:H
Last Name:SAIKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 W REDONDO BEACH BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-3643
Mailing Address - Country:US
Mailing Address - Phone:310-532-6121
Mailing Address - Fax:310-525-1069
Practice Address - Street 1:1875 W REDONDO BEACH BLVD STE 203
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-3643
Practice Address - Country:US
Practice Address - Phone:310-532-6121
Practice Address - Fax:310-525-1069
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA265221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice