Individual
ALBERT MICHAEL MINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
777 S NEW BALLAS RD STE 318W, SAINT LOUIS, MO 63141
(314) 942-8000
(314) 942-8003
Mailing address
777 S NEW BALLAS RD STE 318W, SAINT LOUIS, MO 63141-8719
(314) 942-8000
(314) 942-8003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12993
MO
Other
Enumeration date
05/05/2007
Last updated
06/06/2018
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