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Individual
TALYA MINTZ
Active
Individual
TALYA MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019026422
IL
122300000X
Dentist
22572
TX
122300000X
Dentist
6476015
WI
122300000X
Dentist
D12200
MN
1223G0001X
General Practice Dentistry
Primary
HAD116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113689800
—
FL
Enumeration date
11/01/2006
Last updated
11/13/2024
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