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Individual

PAUL K MIYAMOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2530 S PARKER RD, SUITE 201, AURORA, CO 80014-1623
(303) 750-2460
Mailing address
2530 S PARKER RD, SUITE 201, AURORA, CO 80014-1623
(303) 750-2460

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00000253
CO

Other

Enumeration date
11/10/2006
Last updated
07/08/2007
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