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Organization
MARTIN R. MINIX D.M.D, P.S.C.
Active
Organization
MARTIN R. MINIX D.M.D, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN RUSSELL MINIX D.M.D. (PRESIDENT)
(606) 886-0808
Entity
Organization
Contact information
Practice address
253 HAGER BR, EAST POINT, KY 41216-8766
(606) 886-0808
(606) 886-9584
Mailing address
PO BOX 229, PRESTONSBURG, KY 41653-0229
(606) 886-0808
(606) 886-9584
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6678
KY
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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