Individual
DR. KAVITA R MATHU-MUJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
800 ROSE ST, D104, LEXINGTON, KY 40536-0297
(859) 323-6261
(859) 323-2306
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-0297
(859) 323-6261
(859) 323-2036
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8428
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100006570
—
KY
Enumeration date
09/17/2006
Last updated
03/09/2010
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