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1114539442
DARRON IKARI MIYA
SAN BERNARDINO, CA
NPI
1114539442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 104627)
Enumeration Date
2020-08-18
Last Update Date
2020-09-10
Business Address
DARRON IKARI MIYA
159 W HOSPITALITY LN
SAN BERNARDINO, CA 92408-3348
Phone number: 909-558-4616
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Mailing Address
DARRON IKARI MIYA
828 MALONE DR
MONTEBELLO, CA 90640-2424
Phone number:
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