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Organization
MYNT DENTAL FRANNKLIN PARK LLC
Active
Organization
MYNT DENTAL FRANNKLIN PARK LLC
Active
Other names
Mynt Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SASAN MOLAVI (MANAGER)
(630) 381-8281
Entity
Organization
Contact information
Practice address
2731 MANNHEIM RD, FRANKLIN PARK, IL 60131-2219
(312) 259-2952
Mailing address
2731 MANNHEIM RD, FRANKLIN PARK, IL 60131-2219
(312) 259-2952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/09/2015
Last updated
06/16/2021
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