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Organization
SMILE BURNS
Active
Organization
SMILE BURNS
Active
Parent organization
DR. KELLEY MINGUS
Other names
Dr. Kelley Mingus
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. KELLEY MINGUS
Authorized official
DR. KELLEY RAY MINGUS DMD (OWNER)
(541) 382-6565
Entity
Organization
Contact information
Practice address
711 PONDEROSA VLG, BURNS, OR 97720-2315
(541) 589-4202
Mailing address
711 PONDEROSA VLG, BURNS, OR 97720-2315
(541) 589-4202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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