Individual provider · Type 1 NPI
Linda Kajlsa Miyatake, DDS MD
Oral and Maxillofacial Surgery (Dentist) · San Mateo, CA
NPI number
1346394764
Active
Practice location
130 North San Mateo Drive, Suite 1
San Mateo, CA 94401
Fax (650) 347-5229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 37567 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in San Mateo
About NPI 1346394764
Linda Kajlsa Miyatake, DDS MD's National Provider Identifier is 1346394764, issued on Jan 23, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Mateo, CA. The record was last updated on Jul 8, 2007.