Individual provider · Type 1 NPI

Darron Ikari Miya

Orthodontics and Dentofacial Orthopedics Dentistry · San Bernardino, CA

NPI number 1114539442 Active

Practice location

159 W Hospitality Ln
San Bernardino, CA 92408-3348

Call (909) 558-4616 Map

Mailing address

828 Malone Dr
Montebello, CA 90640-2424

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X104627 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1114539442

Darron Ikari Miya's National Provider Identifier is 1114539442, issued on Aug 18, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Bernardino, CA. The record was last updated on Sep 10, 2020.