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Organization
MINT DENTISTRY LLC
Active
Organization
MINT DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN J. ACIERNO DDS (MANAGER)
(630) 339-3172
Entity
Organization
Contact information
Practice address
600 NORTH NORTH COURT, SUITE 260, PALATINE, IL 60067
(630) 339-3172
Mailing address
600 NORTH NORTH COURT, SUITE 260, PALATINE, IL 60067
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
019013528
IL
305R00000X
Preferred Provider Organization
019026827
IL
Other
Enumeration date
11/25/2014
Last updated
01/14/2015
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