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Lee Miyauchi, DDS
Pediatric Dentist in San Bernardino, California
NPI 1588247175

Lee Miyauchi is a Pediatric Dentist based in Chino, CA and is specialized in Pediatric Dentistry. Lee Miyauchi practices in San Bernardino, CA and has the professional credentials of DDS. The NPI Number for Lee Miyauchi is 1588247175 and holds a License No. 105219 (California).

The current practice location address for Lee Miyauchi is 654 W 4Th St # A, San Bernardino, CA and can be reached out via phone at 909-693-4103.

Location: 654 W 4Th St # A, San Bernardino, CA, 91710-8332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588247175
Provider Name
Lee Miyauchi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
654 W 4Th St # A, San Bernardino, CA, 91710-8332
Phone Number
909-693-4103
Fax Number
Provider Enumeration Date
04/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
654 W 4Th St # A
City
San Bernardino
State
California
Zip
92410-3216
Phone Number
909-693-4103
Fax Number
person
Provider Business Mailing Address Details
Address
654 W 4Th St # A
City
San Bernardino
State
California
Zip
92410-3216
Phone Number
909-693-4103
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
105219 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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