Individual
DR. RICHARD H MIYAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DT1449
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
671673
UNITED CONCORDIA
HI
01
—
B001990-7
BLUE CROSS BLUE SHIELD
HI
Enumeration date
04/02/2007
Last updated
08/18/2020
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