Organization
MINT DENTAL INDEPENDENCE, LLC.
Active
Other names
Mint Dental
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE DOBBINS DDS (CEO)
(480) 343-5072
Entity
Organization
Contact information
Practice address
514 S NOLAND RD STE 120, INDEPENDENCE, MO 64050-3973
(816) 836-5520
Mailing address
15933 W 65TH ST, SHAWNEE, KS 66217-9342
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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