Matthew Mizukawa D.M.D.

NPI 1013100551 - Dentist - 1223S0112X

NPI Details
NPI 1013100551
Gender Male
Enumeration Date 08/18/2007
Last Updated 12/10/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1623 THE VANDERBILT CLINIC
NASHVILLE TN, 37232-0001, US
Phone (615) 343-9403
Fax
Business Location
1623 THE VANDERBILT CLINIC
NASHVILLE TN, 37232-0001, US
Phone (615) 343-9403
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Tennessee
License Number TN 9578
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According to our database, Dr. Matthew Mizukawa D.M.D. NPI is 1013100551, taxonomy code is 1223S0112X and license number is TN 9578, license state is located at Tennessee. Matthew Mizukawa D.M.D. physically located at 1623 The Vanderbilt Clinic, Nashville TN, 37232-0001. NPI Number Matthew Mizukawa D.M.D. has the Individual type.

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1013100551 NPI number is provided on an as is basis without warranty of any kind. 1013100551 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Mizukawa D.M.D. are for informational purposes only.