Organization
KEVIN M. MIZOGUCHI, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M. MIZOGUCHI D.D.S. (OWNER)
(808) 596-8020
Entity
Organization
Contact information
Practice address
615 PIIKOI ST, SUITE 507, HONOLULU, HI 96814-3116
(808) 596-8020
(808) 597-6149
Mailing address
615 PIIKOI ST, SUITE 507, HONOLULU, HI 96814-3116
(808) 596-8020
(808) 597-6149
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1450
HI
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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