Organization
MICHAEL L. MINTEN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEE MINTEN SR. DDS (OWNER/DENTIST)
(573) 443-5195
Entity
Organization
Contact information
Practice address
411 N COLLEGE AVE, COLUMBIA, MO 65201-4915
(573) 443-5195
(573) 449-1269
Mailing address
411 N COLLEGE AVE, COLUMBIA, MO 65201
(573) 443-5195
(573) 449-1269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014811
MO
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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