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1255592267
MITISHA NICHOLE MARTIN
LOUISVILLE, KY
NPI
1255592267
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Former Name
MITISHA NICHOLE HUDSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 8651)
Enumeration Date
2008-06-23
Last Update Date
2020-07-14
Business Address
Dr. MITISHA NICHOLE MARTIN DMD
5316 S. 3RD STREET
LOUISVILLE, KY 40214
Phone number: 502-276-8778
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Mailing Address
Dr. MITISHA NICHOLE MARTIN DMD
5316 S. 3RD STREET
LOUISVILLE, KY 40214
Phone number: 502-276-8778
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