Organization
BRUCE T. MIYASHIRO, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE T. MIYASHIRO D.D.S. (DENTIST/OWNER)
(808) 961-0631
Entity
Organization
Contact information
Practice address
91 LANIHULL ST., SUITE 1, HILO, HI 96720-7202
(808) 961-0631
(808) 969-1558
Mailing address
91 LANIHULL ST., SUITE 1, HILO, HI 96720-7202
(808) 961-0631
(808) 969-1558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1136
HI
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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