Organization
MINT ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE SHINMACHI DMD (OWNER/ORTHODONTIST)
(732) 618-2614
Entity
Organization
Contact information
Practice address
911 WELLINGTON PL, ABERDEEN, NJ 07747-1927
(732) 618-2614
(732) 696-8124
Mailing address
911 WELLINGTON PL, ABERDEEN, NJ 07747-1927
(732) 618-2614
(732) 696-8124
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02566201
NJ
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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