Takashi Dixon

NPI #1265920078 in Riverview, Florida

Provider Information

NPI Number: 1265920078
Entity Type: Individual
Name: Takashi Dixon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 26, 2018
Last Updated: Jul 15, 2019

Practice Location

Address: 10625 BIG BEND RD
City: Riverview
State: Florida
ZIP Code: 33579
Phone: (615) 715-6878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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