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1588247175
LEE MIYAUCHI
SAN BERNARDINO, CA
NPI
1588247175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 105219)
Enumeration Date
2021-04-30
Last Update Date
2022-07-06
Business Address
LEE MIYAUCHI DDS
654 W 4TH ST # A
SAN BERNARDINO, CA 92410-3216
Phone number: 909-693-4103
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Mailing Address
LEE MIYAUCHI DDS
7051 ANGORA ST
CHINO, CA 91710-8332
Phone number: 323-631-7797
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