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Organization
MINT DENTAL ANTIOCH LLC
Active
Organization
MINT DENTAL ANTIOCH 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
8901 W 74TH ST STE 245, OVERLAND PARK, KS 66204-2202
(913) 384-0660
Mailing address
15933 W 65TH ST, SHAWNEE, KS 66217-9342
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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