Individual
MR. MICHAEL LEE MINTEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 CLUB VILLAGE DRIVE, SUITE 102, COLUMBIA, MO 65203-4411
(573) 443-5195
(573) 449-1269
Mailing address
1100 CLUB VILLAGE DRIVE, SUITE 102, COLUMBIA, MO 65203-4411
(573) 443-5195
(573) 449-1269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014811
MO
Other
Enumeration date
02/15/2006
Last updated
07/21/2023
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