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Organization
MINT DENTAL
Active
Organization
MINT DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILA PATEL (REGIONAL MANAGER)
(941) 792-1447
Entity
Organization
Contact information
Practice address
1906 59TH ST W STE F, BRADENTON, FL 34209-4639
(941) 792-1447
(941) 795-8852
Mailing address
1906 59TH ST W STE F, BRADENTON, FL 34209-4639
(941) 792-1447
(941) 795-8852
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN16043
FL
1223G0001X
General Practice Dentistry
Primary
DN17880
FL
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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