Organization
GENTLE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD MIZUTA DDS (DENTIST)
(360) 424-1990
Entity
Organization
Contact information
Practice address
2100 E SECTION ST STE 101, MOUNT VERNON, WA 98274-9132
(360) 424-1990
Mailing address
2100 E SECTION ST STE 101, MOUNT VERNON, WA 98274-9132
(360) 424-1990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4779
WA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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