Organization
MINT DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIYA KASSAM DDS (OWNER)
(202) 529-6468
Entity
Organization
Contact information
Practice address
329 RHODE ISLAND AVE NE, SUITE A, WASHINGTON, DC 20002-6815
(202) 529-6468
(202) 529-3052
Mailing address
329 RHODE ISLAND AVE NE, SUITE A, WASHINGTON, DC 20002-6815
(202) 529-6468
(202) 529-3052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1001355
DC
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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