Individual provider · Type 1 NPI

Isabel Misha Vyazmensky, DMD

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1780207274 Active

Practice location

2211 S Brook St Room 105
Louisville, KY 40292-2442

Call (502) 852-3534 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780207274

Isabel Misha Vyazmensky, DMD's National Provider Identifier is 1780207274, issued on May 19, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on May 19, 2020.