Mint Dental Lino Lakes Pllc | |
591 Apollo Dr Circle Pines MN 55014-3005 | |
(651) 786-7630 | |
Not Available |
Full Name | Mint Dental Lino Lakes Pllc |
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Speciality | Clinic/center - Dental |
Location | 591 Apollo Dr, Circle Pines, Minnesota |
Authorized Official Name and Position | Marwa Gamam-forest (OWNER) |
Authorized Official Contact | 7633008971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mint Dental Lino Lakes Pllc 3320 Honeywood Ln Minnetonka MN 55305-4751 Ph: () - | Mint Dental Lino Lakes Pllc 591 Apollo Dr Circle Pines MN 55014-3005 Ph: (651) 786-7630 |
NPI Number | 1689217341 |
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Provider Enumeration Date | 10/24/2019 |
Last Update Date | 10/24/2019 |
Identifier | Type | State | Issuer |
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1689217341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Circle Pines Dental P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Civic Heights Dr, Circle Pines, MN 55014 Phone: 763-786-3432 Fax: 763-786-0304 | |
Glen Oaks Dental Pllp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 S Pine Dr, Ste M, Circle Pines, MN 55014 Phone: 763-786-8460 Fax: 763-786-1792 |