TAKANARI MIYAMOTO

LA VISTA, NE
NPI1376730143
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: NE  6823)
Enumeration Date2007-09-26
Last Update Date2010-05-27
Business Address
Dr. TAKANARI MIYAMOTO DDS
12110 PORT GRACE BLVD STE 202
LA VISTA, NE 68128-3190
Phone number: 402-614-7022
Mailing Address
Dr. TAKANARI MIYAMOTO DDS
12110 PORT GRACE BLVD STE 202
LA VISTA, NE 68128-3190
Phone number:
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