| Shizuoka Pllc | |
|
1441 Midlothian Pkwy Midlothian TX 76065 | |
| (972) 954-9339 | |
| (972) 945-3040 |
| Full Name | Shizuoka Pllc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 1441 Midlothian Pkwy, Midlothian, Texas |
| Authorized Official Name and Position | Hiroshi Saka (DIRECTOR) |
| Authorized Official Contact | 9729549339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shizuoka Pllc 1441 Midlothian Pkwy, Ste 150 Midlothian TX 76065 Ph: (972) 954-9339 | Shizuoka Pllc 1441 Midlothian Pkwy Midlothian TX 76065 Ph: (972) 954-9339 |
| NPI Number | 1871258061 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 11/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871258061 | NPI | - | NPPES |
| 212955335 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
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