Organization
MINT DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN C MCNEIL DMD (MANAGING MEMBER)
(907) 646-8670
Entity
Organization
Contact information
Practice address
3606 RHONE CIR, ANCHORAGE, AK 99508-5049
(907) 646-8670
Mailing address
2522 CURLEW CIR, ANCHORAGE, AK 99502-1653
(907) 646-8670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1331
AK
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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