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Organization
MINT DENTAL SUMMIT LLC
Active
Organization
MINT DENTAL SUMMIT LLC
Active
Other names
Mint Dental
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE DOBBINS DDS (CEO)
(480) 343-5072
Entity
Organization
Contact information
Practice address
600 NW MURRAY RD STE 304, LEES SUMMIT, MO 64081-1245
(816) 287-5650
Mailing address
15933 W 65TH ST, SHAWNEE, KS 66217-9342
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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