| Mizuno Family Dentistry Pllc | |
|
1108 W Parker Rd Ste 112 Plano TX 75075-2245 | |
| (972) 424-3064 | |
| Not Available |
| Full Name | Mizuno Family Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1108 W Parker Rd Ste 112, Plano, Texas |
| Authorized Official Name and Position | Daigo Mizuno (MANAGER) |
| Authorized Official Contact | 9724243064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mizuno Family Dentistry Pllc 1108 W Parker Rd Ste 112 Plano TX 75075-2245 Ph: (972) 424-3064 | Mizuno Family Dentistry Pllc 1108 W Parker Rd Ste 112 Plano TX 75075-2245 Ph: (972) 424-3064 |
| NPI Number | 1780188672 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 03/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780188672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22692 (Texas) | Primary |
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