| Kevin M. Mizoguchi, Dds, Llc | |
|
615 Piikoi St Suite 507 Honolulu HI 96814-3116 | |
| (808) 596-8020 | |
| (808) 597-6149 |
| Full Name | Kevin M. Mizoguchi, Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 615 Piikoi St, Honolulu, Hawaii |
| Authorized Official Name and Position | Kevin M. Mizoguchi (OWNER) |
| Authorized Official Contact | 8085968020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin M. Mizoguchi, Dds, Llc 615 Piikoi St Suite 507 Honolulu HI 96814-3116 Ph: (808) 596-8020 | Kevin M. Mizoguchi, Dds, Llc 615 Piikoi St Suite 507 Honolulu HI 96814-3116 Ph: (808) 596-8020 |
| NPI Number | 1013135177 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013135177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DT-1450 (Hawaii) | Primary |
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