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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