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Organization

MYLES C. MIYASATO, D.D.S., M.S.,INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MYLES CLAYTON MIYASATO D.D.S, M.S. (PRESIDENT)
(808) 488-5880
Entity
Organization

Contact information

Practice address
98-1247 KAAHUMANU ST STE 316, AIEA, HI 96701-5301
(808) 488-5880
(808) 488-5882
Mailing address
98-1247 KAAHUMANU ST STE 316, AIEA, HI 96701-5301
(808) 488-5880
(808) 488-5882

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
HI941
HI

Other

Enumeration date
10/16/2009
Last updated
10/16/2009
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