Individual
JANELL MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 PINEAPPLE STREET, NUREMBERG, PA 18241-1824
(570) 704-4118
Mailing address
313 REFUGE DR W, DRUMS, PA 18222-2059
(570) 359-5884
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH012325L
PA
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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