Miyamoto, Michael J
Miyamoto, Michael J is an sole proprietor health care provider with primary practice located at 24837 104Th Ave Se Ste 200 , Kent WA 98030-6800. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Miyamoto, Michael J can be contacted via phone (253) 850-1234.Contact Information
Primary practice address
24837 104Th Ave Se Ste 200
Kent WA 98030-6800
Phone: (253) 850-1234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DE60904232 | Washington |
Profile Details
| NPI number | 1720356124 |
|---|---|
| LBN Legal business name | Miyamoto, Michael J |
| Credentials | D.D.S., M.S.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2011 |
| Last updated | Mar 18th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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