Organization
MINT DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA WUBBEN (OFFICE MANAGER)
(406) 586-5880
Entity
Organization
Contact information
Practice address
105 E OAK ST STE 2A, BOZEMAN, MT 59715-2978
(406) 586-5880
(406) 586-5881
Mailing address
105 E OAK ST STE 2A, BOZEMAN, MT 59715-2978
(406) 586-5880
(406) 586-5881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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