Individual
DR. MICHAEL MIYAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1885 MAIN ST, SUITE 203, WAILUKU, HI 96793-1819
(808) 242-7007
(808) 242-8585
Mailing address
1885 MAIN ST, SUITE 203, WAILUKU, HI 96793-1819
(808) 242-7007
(808) 242-8585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1502
HI
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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