Individual
DR. MELVIN JUSTIN HARRIS WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
829 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40204-1040
(850) 591-2196
Mailing address
829 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40204-1040
(850) 591-2196
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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