Individual
DR. STEVEN A MIYAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
113 W. AMERIGE AVE, FULLERTON, CA 92832
(714) 525-1178
(714) 879-6235
Mailing address
113 W. AMERIGE AVE, FULLERTON, CA 92832
(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
04/08/2008
Last updated
09/29/2015
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