Martin Russell Minix DMD

NPI 1497800171 - Dentist - 1223G0001X

NPI Details
NPI 1497800171
Gender Male
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
253 HAGER BRANCH
EAST POINT KY, 41216, US
Phone (606) 886-0808
Fax (606) 886-9584
Business Location
PO BOX 229
PRESTONSBURG KY, 41653-0229, US
Phone (606) 886-0808
Fax (606) 886-9584
Toxanomy
Taxonomy Code 1223G0001X
License State Kentucky
License Number 6678
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According to our database, Dr. Martin Russell Minix DMD NPI is 1497800171, taxonomy code is 1223G0001X and license number is 6678, license state is located at Kentucky. Martin Russell Minix DMD physically located at 253 Hager Branch, East Point KY, 41216. NPI Number Martin Russell Minix DMD has the Individual type.

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1497800171 NPI number is provided on an as is basis without warranty of any kind. 1497800171 is maintained by the National Plan & Provider Enumeration System. The contents of Martin Russell Minix DMD are for informational purposes only.