Individual provider · Type 1 NPI

Shelley Hiroko Miyasaki, DDS, PhD

Oral and Maxillofacial Surgery (Dentist) · San Francisco, CA

NPI number 1750325130 Active

Practice location

4150 Clement St, Dental Service Mail Stop #160
San Francisco, CA 94121-1545

Fax (415) 750-6603

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X35147 (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.

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About NPI 1750325130

Shelley Hiroko Miyasaki, DDS, PhD's National Provider Identifier is 1750325130, issued on Jun 15, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Francisco, CA. The record was last updated on Jul 10, 2007.