Miyamoto and Phi Dental Corporation
NPI #1740498526 in La Jolla, California
Provider Information
- NPI Number
- 1740498526
- Entity Type
- Organization
- Organization Name
- Miyamoto and Phi Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 470 NAUTILUS ST
- Address 2
- SUITE 309
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-5969
- Phone
- (858) 454-5822
Authorized Official
- Name
- DR. GERALD MIYAMOTO, D.D.S.
- Title
- CEO
- Phone
- (858) 454-5822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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