Individual
DR. BRUCE T. MIYASHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
91 LANIHULI ST STE 1, HILO, HI 96720-4142
(808) 961-0631
(808) 969-1558
Mailing address
91 LANIHULI ST STE 1, HILO, HI 96720-4142
(808) 961-0631
(808) 969-1558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1136
HI
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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