Organization
DENA M. MINTZ, O.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENA M. MINTZ O.D. (OPTOMETRIST)
(951) 737-7820
Entity
Organization
Contact information
Practice address
800 MAGNOLIA AVE STE 113, CORONA, CA 92879-3123
(951) 737-7820
(951) 737-7844
Mailing address
800 MAGNOLIA AVE STE 113, CORONA, CA 92879-3123
(951) 737-7820
(951) 737-7844
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 8810T
CA
Other
Enumeration date
02/26/2008
Last updated
06/09/2010
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