Organization
MINT DENTAL LINO LAKES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARWA GAMAM-FOREST DDS (OWNER)
(763) 300-8971
Entity
Organization
Contact information
Practice address
591 APOLLO DR, CIRCLE PINES, MN 55014-3005
(651) 786-7630
Mailing address
3320 HONEYWOOD LN, MINNETONKA, MN 55305-4751
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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