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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEN MIYAZATO, DDS

Active Sole Proprietor

DR. KEN MIYAZATO, DDS is a Dentist healthcare provider located in SAN JOSE, California. NPI 1093116634 is currently active in the NPPES registry. Verify at CMS.

Dentist · SAN JOSE, CA

Registration Details

NPI Number
1093116634
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2014 (11.904749126611 yrs)
Last Updated
Dec 4, 2017
License
64026 (CA)
Sole Proprietor
Yes

Practice Information

Address
500 TULLY RD
SAN JOSE, CA, 951111917
Browse CA providers · Browse ZIP 95111
Phone
8883341000
Primary Specialty
Dentist
122300000X

Other Dentist Providers in SAN JOSE, CA

Name Credential NPI
DR. PAULINE PHUONG NGUYEN D.D.S. 1053319707
DR. HOUSTON NGUYEN DDS 1992791594
DR. RICHARD JOSEPH RAVIZZA V DDS 1215927413
DR. TRONG TU TRAN DDS 1689653966
STEPHEN N. DOMBRO D.D.S. 1144291691
RICHARD T BATTAGLIA DDS 1033184635
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.