Individual
DR. MICHAEL JOHN MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
934 RICHARD RD, DYER, IN 46311-1936
(219) 865-9790
(219) 865-9792
Mailing address
934 RICHARD RD, DYER, IN 46311-1936
(219) 865-9790
(219) 865-9792
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12009136
IN
1223E0200X
Endodontics
—
IL
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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