Individual
DAVID G MINTO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
19748 GREENO RD, FAIRHOPE, AL 36532-3836
(251) 990-5959
(251) 378-9032
Mailing address
19748 GREENO RD, FAIRHOPE, AL 36532-3836
(251) 990-5959
(251) 378-9032
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6381-C
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
6381-C
AL
Other
Enumeration date
05/03/2011
Last updated
04/24/2019
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