Search › Illinois › 122300000X
Patrick Miyamasu, D.D.S
NPI 1992933915 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3210 W 63rd St
Chicago, IL 60629 - Phone
- (773) 776-8300
- Organisation at this address
- The Dental Clinic, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-06-29
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 Illinois