| Michael L. Minten Dds | |
|
411 N College Ave Columbia MO 65201-4915 | |
| (573) 443-5195 | |
| (573) 449-1269 |
| Full Name | Michael L. Minten Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 411 N College Ave, Columbia, Missouri |
| Authorized Official Name and Position | Michael Lee Minten (OWNER/DENTIST) |
| Authorized Official Contact | 5734435195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L. Minten Dds 411 N College Ave Columbia MO 65201 Ph: (573) 443-5195 | Michael L. Minten Dds 411 N College Ave Columbia MO 65201-4915 Ph: (573) 443-5195 |
| NPI Number | 1164755237 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 09/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164755237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 014811 (Missouri) | Primary |
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