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Takanari Miyamoto, DDS
NPI 1376730143 · on the registry since 2007
Practice
- Address
- 12110 Port Grace Blvd Ste 202
La Vista, NE 68128 - Phone
- (402) 614-7022
- Fax
- (402) 614-7122
- Organisation at this address
- Dymphna Holdings, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- Periodontics
1223P0300X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska