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1891792271
MIKA MIYAMOTO
PORTLAND, OR
NPI
1891792271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 7625)
Enumeration Date
2005-06-30
Last Update Date
2024-03-27
Business Address
Dr. MIKA MIYAMOTO DMD
500 NW 10TH AVE
PORTLAND, OR 97209-3364
Phone number: 503-977-3275
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Mailing Address
Dr. MIKA MIYAMOTO DMD
500 NW 10TH AVE
PORTLAND, OR 97209-3364
Phone number: 503-977-3275
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