Individual
DR. PETE NMI MINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
DEPT OF THE ARMY, DENTAL ACTIVITY STOP B, 2817 REILLY RD, MCDS-NA-B, FORT BRAGG, NC 28310-0001
(910) 396-5610
(910) 396-7017
Mailing address
DEPT OF THE ARMY, DENTAL ACTIVITY STOP B, 2817 REILLY RD, MCDS-NA-B, FORT BRAGG, NC 28310-0001
(910) 396-5610
(910) 396-7017
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401-007035
VA
Other
Enumeration date
01/10/2006
Last updated
03/07/2023
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