Mint Dental Care Pllc | |
1415 Fillmore St Ste 701 Twin Falls ID 83301-3346 | |
(208) 735-1415 | |
Not Available |
Full Name | Mint Dental Care Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 1415 Fillmore St Ste 701, Twin Falls, Idaho |
Authorized Official Name and Position | Chase Alan Funk (OWNER) |
Authorized Official Contact | 2087351415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mint Dental Care Pllc 1415 Fillmore St Ste 701 Twin Falls ID 83301-3346 Ph: (208) 735-1415 | Mint Dental Care Pllc 1415 Fillmore St Ste 701 Twin Falls ID 83301-3346 Ph: (208) 735-1415 |
NPI Number | 1245064427 |
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Provider Enumeration Date | 08/29/2024 |
Last Update Date | 08/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245064427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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