Organization
SYLVAN S MINTZ,DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYLVAN S MINTZ DDS (DENTIST/OWNER)
(301) 530-8570
Entity
Organization
Contact information
Practice address
10401 OLD GEORGETOWN RD, SUITE 106, BETHESDA, MD 20814-1911
(301) 530-8570
(301) 530-8572
Mailing address
10401 OLD GEORGETOWN RD, SUITE 106, BETHESDA, MD 20814-1911
(301) 530-8570
(301) 530-8572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4351
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6537080001
DME MAC PTAN
MD
Enumeration date
05/25/2011
Last updated
08/26/2011
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