Individual
DAVID MINORU MIYATAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22626 SE 216TH PL, MAPLE VALLEY, WA 98038-6446
(425) 432-3382
Mailing address
22626 SE 216TH PL, MAPLE VALLEY, WA 98038-6446
(425) 432-3382
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00005666
WA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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