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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902906530 NPPES
Hawaii Other 138901 HDS PROVIDER NUMBER
Hawaii Other B-06401-0 HDS PROVIDER NUMBER

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