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Courtney Miyamoto, DDS
NPI 1891271987 · on the registry since 2018
Practice
- Address
- 545 E Johnson St
Fond Du Lac, WI 54935 - Phone
- (920) 924-9090
- Organisation at this address
- Dental Assosiates
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Additional practice sites
- 1885 Main St Ste 203, Wailuku, HI
- 2100 Miller Park Way, West Milwaukee, WI
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
- Licence states on file
- HI, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-30
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 Wisconsin