MARK K. KOIZUMI, D.D.S., INC.

HILO, HI
NPI1538373972
Entity TypeOrganization
Authorized ContactMARK K. KOIZUMI
President
808-935-1149
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: HI  DT-1380)
Enumeration Date2007-05-09
Last Update Date2012-06-29
Business Address
MARK K. KOIZUMI, D.D.S., INC.
275 PONAHAWAI ST SUITE 103
HILO, HI 96720-3074
Phone number: 808-935-1149
Mailing Address
MARK K. KOIZUMI, D.D.S., INC.
275 PONAHAWAI ST SUITE 103
HILO, HI 96720-3074
Phone number: 808-935-1149