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Individual

DR. SUSAN N MIZUNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1060 YOUNG ST STE 216, HONOLULU, HI 96814-1609
(808) 525-7161
(808) 525-7127
Mailing address
1060 YOUNG ST STE 216, HONOLULU, HI 96814-1609
(808) 525-7161
(808) 525-7127

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1814
HI

Other

Enumeration date
05/10/2007
Last updated
07/08/2007
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