Organization
STEVEN A MIYAMOTO, DDS, INC.
Active
Other names
Fullerton Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN A MIYAMOTO DDS (OWNER)
(714) 525-1178
Entity
Organization
Contact information
Practice address
113 W AMERIGE AVE, FULLERTON, CA 92832-1856
(714) 525-1178
(714) 879-6235
Mailing address
113 W AMERIGE AVE, FULLERTON, CA 92832-1856
(714) 525-1178
(714) 879-6235
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
42368
CA
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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