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Linda Kajlsa Miyatake, DDSMD
Oral and Maxillofacial Surgery (Dentist) in San Mateo, California
NPI 1346394764

Linda Kajlsa Miyatake is a Oral and Maxillofacial Surgery (Dentist) based in San Mateo, CA and is specialized in Oral and Maxillofacial Surgery. Linda Kajlsa Miyatake practices in San Mateo, CA and has the professional credentials of DDSMD. The NPI Number for Linda Kajlsa Miyatake is 1346394764 and holds a License No. 37567 (California).

The current practice location address for Linda Kajlsa Miyatake is 130 North San Mateo Drive, San Mateo, CA and can be reached out via phone at 650-347-7014 and via fax at 650-347-5229.

Location: 130 North San Mateo Drive, San Mateo, CA, 94401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346394764
Provider Name
Linda Kajlsa Miyatake
Credential
DDSMD
Provider Entity Type
Individual
Gender
Female
Address
130 North San Mateo Drive, San Mateo, CA, 94401
Phone Number
650-347-7014
Fax Number
650-347-5229
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
130 North San Mateo Drive
City
San Mateo
State
California
Zip
94401
Phone Number
650-347-7014
Fax Number
650-347-5229
person
Provider Business Mailing Address Details
Address
130 North San Mateo Drive
City
San Mateo
State
California
Zip
94401
Phone Number
650-347-7014
Fax Number
650-347-5229
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
37567 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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