Individual provider · Type 1 NPI

Roy Miyamoto, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · South Gate, CA

NPI number 1871630673 Active

Practice location

4444 Tweedy Blvd
South Gate, CA 90280-6304

Call (323) 564-2444 Map

Fax (323) 249-7565

Mailing address

65 Tavella Pl
Foothill Ranch, CA 92610-2206

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X33633 (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 1871630673

Roy Miyamoto, DDS's National Provider Identifier is 1871630673, issued on Jan 31, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in South Gate, CA. The record was last updated on Jul 9, 2007.