Organization
MINTED DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ONIKA PATEL DMD (OWNER)
(480) 400-1794
Entity
Organization
Contact information
Practice address
21050 N TATUM BLVD STE 200, PHOENIX, AZ 85050-4262
(480) 400-1794
(480) 400-1839
Mailing address
21050 N TATUM BLVD STE 200, PHOENIX, AZ 85050-4262
(480) 400-1794
(480) 400-1839
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619354313
N/A
AZ
Enumeration date
03/20/2019
Last updated
03/20/2019
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