Individual
CHRISTOPHER MINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
635 ALBANY STREET, BOSTON, MA 02118
(914) 874-7075
Mailing address
12 TANGLEWOOD RD, SCARSDALE, NY 10583-4640
(914) 874-7075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61011577
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE61011577
WASHINGTON STATE DENTIST LICENSE CREDENTIAL NUMBER
WA
Enumeration date
11/13/2019
Last updated
11/13/2019
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