is a Pediatric Dental Clinic in Bonney Lake, Washington. It is located at 20811 Wa-410 E, Bonney Lake, WA and its contact number is 253-200-2500. The authorized person for is Dr. Kevin Hidehisa Sakai
who is Owner of the clinic and their contact number is 253-200-2500. The primary license number for is DE00010783 (Pediatric Dentistry) in Washington. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Pediatric Dentistry
Clinic Address:
20811 Wa-410 E, Bonney Lake, Washington, 98391-9839
Phone:
253-200-2500
Fax:
253-200-2503
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Kevin Hidehisa Sakai
Position:
Owner
Contact Number:
253-200-2500
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1801152996
NPI Enumeration Date:
03 Apr, 2012
NPI Last Update On:
03 Sep, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
DE00010783
Washington
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
311 River Rd, Puyallup, Washington
Zip:
98371-4113
Phone Number:
253-200-2500
Fax Number:
253-200-2503
Patients can reach at 20811 Wa-410 E, Bonney Lake, Washington or can call to book an appointment on 253-200-2500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.