Mint Dentistry, Pllc | |
6076 Azle Ave Ste 100 Lake Worth TX 76135-2627 | |
(214) 821-6468 | |
Not Available |
Full Name | Mint Dentistry, Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 6076 Azle Ave Ste 100, Lake Worth, Texas |
Authorized Official Name and Position | Field Harrison (OWNER) |
Authorized Official Contact | 2148216468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mint Dentistry, Pllc 3201 W Airport Fwy Ste 102 Irving TX 75062-5928 Ph: (972) 893-8730 | Mint Dentistry, Pllc 6076 Azle Ave Ste 100 Lake Worth TX 76135-2627 Ph: (214) 821-6468 |
NPI Number | 1407499809 |
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Provider Enumeration Date | 10/18/2019 |
Last Update Date | 10/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407499809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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