DR. Courtney Miyamoto, DDS

NPI #1891271987 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1891271987
Entity Type: Individual
Name: DR. Courtney Miyamoto, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 12, 2018
Last Updated: Oct 30, 2020

Practice Location

Address: 545 E JOHNSON ST
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-2856
Phone: (920) 924-9090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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