Individual
DR. GLENN YUTAKA MIYAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
451 HUNGERFORD DR, SUITE 500, ROCKVILLE, MD 20850-4176
(301) 610-7379
(301) 610-7704
Mailing address
451 HUNGERFORD DR, SUITE 500, ROCKVILLE, MD 20850-4176
(301) 610-7379
(301) 610-7704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06011
MD
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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