Individual provider · Type 1 NPI

Carole Miyahara

Pediatric Dentistry · Berkeley, CA

NPI number 1831492404 Active

Practice location

3010 Colby Street, Suite 217
Berkeley, CA 94705-2059

Mailing address

3010 Colby St, Suite 217
Berkeley, CA 94705-2091

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDT39047 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1831492404

Carole Miyahara's National Provider Identifier is 1831492404, issued on Dec 21, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Berkeley, CA. The record was last updated on Dec 21, 2010.