DR. RYAN MIZUMOTO, DMD
Dentist - Prosthodontics
Active
Individual
NPI: 1578793006
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 019028088 (IL) |
| Dentist - General Practice | 1223G0001X | No | 30-023250 (OH) |
| Dentist - Prosthodontics | 1223P0700X | Yes | 30-023250 (OH) |
Frequently Asked Questions
NPI 1578793006 is the National Provider Identifier for DR. RYAN MIZUMOTO, DMD, a Dentist - Prosthodontics provider located in Worthington, OH. This NPI was enumerated on July 17, 2009.
DR. RYAN MIZUMOTO, DMD practices at 55 CAREN AVE STE 270, Worthington, OH 43085.
Quick Facts
- NPI
- 1578793006
- Type
- Individual
- Enumerated
- Jul 17, 2009
- Last Updated
- Jan 7, 2019
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