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Organization

BYRONSMIZUHA DMD,MSD, PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BYRON S. MIZUHA (PERIODONTIST)
(425) 771-3000
Entity
Organization

Contact information

Practice address
19320 40TH AVE W STE B, LYNNWOOD, WA 98036-4602
(425) 771-3000
(425) 771-1319
Mailing address
19320 40TH AVE W STE B, LYNNWOOD, WA 98036-4602
(425) 771-3000
(425) 771-1319

Taxonomy

Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
4650
WA

Other

Enumeration date
07/20/2016
Last updated
07/20/2016
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