Individual
JOHN DALE MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
312 E STODDARD, DEXTER, MO 63841-1342
(573) 624-5366
Mailing address
312 E STODDARD, DEXTER, MO 63841-1342
(573) 624-5366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11053
MO
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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