Individual
DR. GERALD MIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2185 N 1700 W, SUITE #202, LAYTON, UT 84041
(801) 773-5460
(801) 773-5461
Mailing address
2185 N 1700 W, SUITE #202, LAYTON, UT 84041
(801) 773-5460
(801) 773-5461
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
221374929922
UT
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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