Organization
MINT DENTAL CARE PLLC
Active
Other names
Mint Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASE ALAN FUNK DDS (OWNER)
(208) 735-1415
Entity
Organization
Contact information
Practice address
1415 FILLMORE ST STE 701, TWIN FALLS, ID 83301-3346
(208) 735-1415
Mailing address
1415 FILLMORE ST STE 701, TWIN FALLS, ID 83301-3346
(208) 735-1415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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