Individual
DR. JOHN E MINALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 W FRONT ST STE 90, HARVARD, IL 60033-2709
(815) 236-8694
Mailing address
200 W FRONT ST STE 90, HARVARD, IL 60033-2709
(815) 236-8694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6204-15
WI
1223G0001X
General Practice Dentistry
Primary
019-021250
IL
Other
Enumeration date
10/04/2006
Last updated
06/29/2023
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