DR. Takanari Miyamoto, DDS

NPI #1376730143 in La Vista, Nebraska

Provider Information

NPI Number
1376730143
Entity Type
Individual
Name
DR. Takanari Miyamoto, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Periodontics
Credential
DDS
Enumeration Date
Sep 26, 2007
Last Updated
May 27, 2010

Practice Location

Address
12110 PORT GRACE BLVD STE 202
ZIP Code
68128-3190
Phone
(402) 614-7022

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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