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Individual

JEFFREY K MIYAZAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
45480 KANEOHE BAY DR, KANEOHE, HI 96744
(808) 235-4524
(808) 235-4526
Mailing address
1461 LALAMILO STREET, HONOLULU, HI 96819
(808) 833-2525

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT1851
HI

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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