Organization
MINTY LLC
Active
Other names
Minty LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DETWILER (DENTAL HYGIENIST)
(919) 602-1578
Entity
Organization
Contact information
Practice address
4341 MARTINSON DR, LOVELAND, CO 80537-3222
(919) 602-1578
Mailing address
4341 MARTINSON DR, LOVELAND, CO 80537-3222
(919) 602-1578
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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