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Organization
PHI AND MIYAMOTO DENTAL CORPORATION
Active
Organization
PHI AND MIYAMOTO DENTAL CORPORATION
Active
Other names
La Costa Del Sur Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD MIYAMOTO D.D.S. (PRESIDENT)
(760) 942-5888
Entity
Organization
Contact information
Practice address
3257 CAMINO DE LOS COCHES, SUITE 302, CARLSBAD, CA 92009-8966
(760) 942-5888
Mailing address
3257 CAMINO DE LOS COCHES, SUITE 302, CARLSBAD, CA 92009-8966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47291
CA
Other
Enumeration date
05/22/2007
Last updated
02/19/2009
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