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Organization
RYAN MIYASAKI
Active
Organization
RYAN MIYASAKI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MIYASAKI DDS (OWNER)
(925) 934-3251
Entity
Organization
Contact information
Practice address
2225 OLYMPIC BLVD, WALNUT CREEK, CA 94595-1623
(925) 934-3251
(925) 934-2136
Mailing address
2225 OLYMPIC BLVD, WALNUT CREEK, CA 94595-1623
(925) 934-3251
(925) 934-2136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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