Miyasato, Leesa S
Miyasato, Leesa S is an individual health care provider with primary practice located at 65-1230 Mamalahoa Hwy Ste E21 , Kamuela HI 96743-8319. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Miyasato, Leesa S can be contacted via phone (808) 887-8801.Contact Information
Primary practice address
65-1230 Mamalahoa Hwy Ste E21
Kamuela HI 96743-8319
Phone: (808) 887-8801
Fax: (808) 887-8805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DT1389 | Hawaii |
Profile Details
| NPI number | 1902906530 |
|---|---|
| LBN Legal business name | Miyasato, Leesa S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902906530 | NPPES |
| Hawaii | Other | 138901 | HDS PROVIDER NUMBER |
| Hawaii | Other | B-06401-0 | HDS PROVIDER NUMBER |
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