| Minted Dental | |
|
21050 N Tatum Blvd Ste 200 Phoenix AZ 85050-4262 | |
| (480) 400-1794 | |
| (480) 400-1839 |
| Full Name | Minted Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21050 N Tatum Blvd Ste 200, Phoenix, Arizona |
| Authorized Official Name and Position | Onika Patel (OWNER) |
| Authorized Official Contact | 4804001794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minted Dental 21050 N Tatum Blvd Ste 200 Phoenix AZ 85050-4262 Ph: (480) 400-1794 | Minted Dental 21050 N Tatum Blvd Ste 200 Phoenix AZ 85050-4262 Ph: (480) 400-1794 |
| NPI Number | 1710447370 |
|---|---|
| Provider Enumeration Date | 03/20/2019 |
| Last Update Date | 03/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710447370 | NPI | - | NPPES |
| 1619354313 | Other | AZ | N/A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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