person
Isabel Misha Vyazmensky, DMD
Student in an Organized Health Care Education/Training Program in Louisville, Kentucky
NPI 1780207274

Isabel Misha Vyazmensky is a Student in an Organized Health Care Education/Training Program based in Louisville, KY. Isabel Misha Vyazmensky practices in Louisville, KY and has the professional credentials of DMD. The NPI Number for Isabel Misha Vyazmensky is 1780207274 and holds a License No. (Kentucky).

The current practice location address for Isabel Misha Vyazmensky is 2211 S Brook St Room 105, Louisville, KY and can be reached out via phone at 502-852-3534.

Location: 2211 S Brook St Room 105, Louisville, KY, 40292-2442
person
Provider Profile Details
NPI Number
1780207274
Provider Name
Isabel Misha Vyazmensky
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2211 S Brook St Room 105, Louisville, KY, 40292-2442
Phone Number
502-852-3534
Fax Number
Provider Enumeration Date
05/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2211 S Brook St Room 105
City
State
Zip
40292-2442
Phone Number
502-852-3534
Fax Number
person
Provider Business Mailing Address Details
Address
2211 S Brook St Room 105
City
State
Zip
40292-2442
Phone Number
502-852-3534
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Kentucky)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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