NPI 1003269473

Byronsmizuha Dmd,msd, Ps

Organisation Advanced Practice Dental Therapist Lynnwood, WA

Practice location

Address: 19320 40th Ave W STE B, Lynnwood, WA 98036-4602
Phone: (425) 771-3000
Fax: (425) 771-1319

Authorised official

Name: Byron S. Mizuha
Title: Periodontist
Phone: (425) 771-3000

Registered specialties

Advanced Practice Dental Therapist Primary

Dental Providers Taxonomy 125K00000X Licence 4650 (WA)

Other Advanced Practice Dental Therapist providers in Washington →

Registry record

NPI: 1003269473
Entity type: Organization
NPI issued: 20 Jul 2016
Record last updated: 20 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.