| Mint32dental | |
|
1351 Alafaya Trl Ste 1017 Oviedo FL 32765-9100 | |
| (407) 519-0634 | |
| (321) 415-1071 |
| Full Name | Mint32dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 1351 Alafaya Trl Ste 1017, Oviedo, Florida |
| Authorized Official Name and Position | Leidy Riano (DOCTOR/OWNER) |
| Authorized Official Contact | 4075190634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mint32dental 1351 Alafaya Trl Ste 1017 Oviedo FL 32765-9100 Ph: (407) 519-0634 | Mint32dental 1351 Alafaya Trl Ste 1017 Oviedo FL 32765-9100 Ph: (407) 519-0634 |
| NPI Number | 1275217598 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 04/15/2024 |
| Medicare PECOS PAC ID | 2668811233 |
|---|---|
| Medicare Enrollment ID | O20240416000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275217598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Leidy Riano Galeano |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194127522 PECOS PAC ID: 5395184964 Enrollment ID: I20240417001843 |
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