Organization
DIXIE ORAL, MAXILLOFACIAL & IMPLANT SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HIDEO MIZUKAWA D.D.S. (ORAL SURGEON)
(435) 673-1554
Entity
Organization
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
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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