Individual
DR. JOHN HIDEO MIZUKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10 DIAGONAL ST, SUITE 204, ST GEORGE, UT 84770-2878
(435) 673-1554
(435) 674-9967
Mailing address
10 DIAGONAL ST, SUITE 204, ST GEORGE, UT 84770-2878
(435) 673-1554
(435) 674-9967
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
136226
UT
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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