SearchKentucky122300000X

Mitisha Martin, DMD

NPI 1255592267 · on the registry since 2008

Practice

Address
5316 S. 3rd Street
Louisville, KY 40214
Phone
(502) 276-8778
Organisation at this address
Abcdentistry
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 130 Evergreen Rd, Louisville, KY

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky