NPI 1013100551

Matthew Mizukawa, DMD

Practitioner Oral and Maxillofacial Surgery (Dentist) Nashville, TN

Practice location

Address: 1623 the Vanderbilt Clinic, Nashville, TN 37232-0001
Phone: (615) 343-9403

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence TN 9578 (TN)

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Registry record

NPI: 1013100551
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2007
Record last updated: 10 Dec 2012

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.