Organization
MYNT DENTAL FRANNKLIN PARK LLC
Active
Other names
Mynt Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SASAN MOLAVI (MANAGER)
(630) 381-8281
Entity
Organization
Contact information
Practice address
2731 MANNHEIM RD, FRANKLIN PARK, IL 60131-2219
(312) 259-2952
Mailing address
2731 MANNHEIM RD, FRANKLIN PARK, IL 60131-2219
(312) 259-2952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/09/2015
Last updated
06/16/2021
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