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Mina Iskander

Dentist, General Practice in Louisville, KY. Individual provider (NPI-1).

NPI number1316637895
StatusActive
Last updated in NPPESAug 18, 2025

Details

NPI
1316637895
Entity type
Individual (NPI-1)
Name
Mina Iskander
Sex
Male
Sole proprietor
Yes
Enumeration date
May 9, 2023
Certification date
Aug 18, 2025
Last updated
Aug 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice11057KYYes
122300000X Dentist12014077AIN

Practice location

703 E Madison St Apt B
Louisville, KY 40202-1683

Phone 502-294-8587

Mailing address

10300 Linn Station Rd Ste 100
Louisville, KY 40223-3840

Phone 502-294-8587

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