MR. Patrick Keone Miyamasu, D.D.S.

NPI #1992933915 in Chicago, Illinois

Provider Information

NPI Number: 1992933915
Entity Type: Individual
Name: MR. Patrick Keone Miyamasu, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 29, 2009
Last Updated: Jun 29, 2009

Practice Location

Address: 3210 W 63RD ST
City: Chicago
State: Illinois
ZIP Code: 60629-3325
Phone: (773) 776-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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