Individual
MIYUKI TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5961 NW 173RD DR, HIALEAH, FL 33015-5114
(305) 556-7500
(305) 503-3476
Mailing address
1000 PARK CENTRE BLVD, 100, MIAMI, FL 33169-5373
(305) 621-0023
(305) 623-9188
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 20536
FL
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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