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Individual

DR. MATTHEW MIZUKAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1623 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 343-9403
Mailing address
1623 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 343-9403

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
TN 9578
TN

Other

Enumeration date
08/18/2007
Last updated
12/10/2012
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