Individual
DR. JAMES DEAN MINFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2673 LEECHBURG RD., LOWER BURRELL, PA 15068-3028
(724) 335-0550
(724) 335-9768
Mailing address
2673 LEECHBURG RD., LOWER BURRELL, PA 15068-3028
(724) 335-0550
(724) 335-9768
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSO18655L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DSO18655L
PA STATE DENTAL LICENSE
PA
Enumeration date
10/19/2006
Last updated
06/16/2011
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