Individual
DR. MIKAI J CRITCHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
640 ERVAY AVE, LOUISVILLE, KY 40217-1928
(919) 903-6549
Mailing address
640 ERVAY AVE, LOUISVILLE, KY 40217-1928
(919) 903-6549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10967
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2023
Last updated
08/10/2023
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