Individual
KYOKA MIZUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43000 MIDWAY AVE # 595, SAN DIEGO, CA 92140-5692
(619) 524-4006
Mailing address
43000 MIDWAY AVE # 595, SAN DIEGO, CA 92140-5692
(619) 524-4006
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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