Organization · Type 2 NPI
Steven A Miyamoto, Dds, Inc.
Oral and Maxillofacial Surgery (Dentist) · Fullerton, CA
NPI number
1477090744
Active
Practice location
113 W Amerige Ave
Fullerton, CA 92832-1856
Fax (714) 879-6235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 42368 (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.
About NPI 1477090744
Steven A Miyamoto, Dds, Inc.'s National Provider Identifier is 1477090744, issued on Jan 25, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fullerton, CA. The record was last updated on Jan 25, 2017.