Individual
DR. JIN S MIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
AA DENTAL CENTER, SUITE #100 1401 E 4TH AVE, OLYMPIA, WA 98506
(360) 753-7388
(360) 753-3553
Mailing address
AA DENTAL CENTER, SUITE #100 1401 E 4TH AVE, OLYMPIA, WA 98506
(360) 753-7388
(360) 753-3553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 7830
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5040332
—
WA
Enumeration date
01/16/2007
Last updated
07/08/2007
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