Individual
DR. LONDON MINTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 HOSPITAL DRIVE, FARMINGTON, CT 06030-0001
(860) 367-2269
Mailing address
20 HOPMEADOW ST UNIT 534, WEATOGUE, CT 06089-7934
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
13754
CT
Other
Enumeration date
03/16/2023
Last updated
05/19/2023
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