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Organization
MICHAEL G KIYOMOTO OD
Active
Organization
MICHAEL G KIYOMOTO OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G KIYOMOTO OD (OWNER)
(510) 843-0721
Entity
Organization
Contact information
Practice address
2035 SAN PABLO AVE, BERKELEY, CA 94702-1613
(510) 843-0721
(510) 843-0721
Mailing address
2035 SAN PABLO AVE, BERKELEY, CA 94702-1613
(510) 843-0721
(510) 843-0721
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT7506TPA
CA
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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