Michael Tadayuki Miyamoto, DDS is a student in an organized health care education training program in Green Bay, WI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Michael Tadayuki Miyamoto, DDS NPI is 1013531656. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2851 UNIVERSITY AVE
GREEN BAY, WI
ZIP 54311-855
Phone: (414) 384-2000
The enumeration date for this NPI number is 5/29/2020 and was last updated on 5/29/2020.