Individual
ISABEL MISHA VYAZMENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2211 S BROOK ST ROOM 105, LOUISVILLE, KY 40292-2442
(502) 852-3534
Mailing address
2211 S BROOK ST ROOM 105, LOUISVILLE, KY 40292-2442
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KY
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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