| Mint Oral Surgery, Pllc | |
|
2805 E Grapevine Mills Cir Ste 180 Grapevine TX 76051-1214 | |
| (214) 821-6468 | |
| Not Available |
| Full Name | Mint Oral Surgery, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2805 E Grapevine Mills Cir Ste 180, Grapevine, Texas |
| Authorized Official Name and Position | Carly Lothman (REGIONAL DIRECTOR) |
| Authorized Official Contact | 2148216468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mint Oral Surgery, Pllc 5656 N Central Expy Unit 400 Dallas TX 75206-0949 Ph: (214) 821-6468 | Mint Oral Surgery, Pllc 2805 E Grapevine Mills Cir Ste 180 Grapevine TX 76051-1214 Ph: (214) 821-6468 |
| NPI Number | 1033625736 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 12/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033625736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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