OrganizationActive
Byronsmizuha Dmd,msd, Ps
NPI 1003269473 · Advanced Practice Dental Therapist · Lynnwood, WA
Provider details
- NPI number
- 1003269473
- Entity type
- Organization
- Primary specialty
- Advanced Practice Dental TherapistDental Providers
- Organization subpart
- No
- Authorized official
- Byron Mizuha, Periodontist(425) 771-3000
- License
- 4650 (WA)
Specialties & taxonomies
Dental Providers
Practice location
19320 40th Ave W Ste B
Lynnwood, WA 98036-4602
Phone: (425) 771-3000
Fax: (425) 771-1319
Approximate (ZIP-level) locationGet directions
Mailing address
19320 40th Ave W Ste B
Lynnwood, WA 98036-4602
Registry dates
- Enumerated
- 2016-07-20
- Last updated
- 2016-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.