| Mint Dental Antioch Llc | |
|
8901 W 74th St Ste 245 Overland Park KS 66204-2202 | |
| (913) 384-0660 | |
| Not Available |
| Full Name | Mint Dental Antioch Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8901 W 74th St Ste 245, Overland Park, Kansas |
| Authorized Official Name and Position | Wayne Dobbins (CEO) |
| Authorized Official Contact | 4803435072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mint Dental Antioch Llc 15933 W 65th St Shawnee KS 66217-9342 Ph: () - | Mint Dental Antioch Llc 8901 W 74th St Ste 245 Overland Park KS 66204-2202 Ph: (913) 384-0660 |
| NPI Number | 1427786292 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427786292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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