Takashi Dixon Valid NPI
Individual provider · General Practice Dentistry · Riverview, FL
- NPI
- 1265920078
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DN24442 (FL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-04-26
- Last updated
- 2019-07-15
Practice location
10625 Big Bend Rd
Riverview, FL 33579
(615) 715-6878