Mark K. Koizumi, D.d.s., Inc.

NPI #1538373972 in Hilo, Hawaii

Provider Information

NPI Number: 1538373972
Entity Type: Organization
Organization Name: Mark K. Koizumi, D.d.s., Inc.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 9, 2007
Last Updated: Jun 29, 2012

Practice Location

Address: 275 PONAHAWAI ST
Address 2: SUITE 103
City: Hilo
State: Hawaii
ZIP Code: 96720-3074
Phone: (808) 935-1149

Authorized Official

Name: DR. MARK K. KOIZUMI, D.D.S.
Title: PRESIDENT
Phone: (808) 935-1149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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