Organization · Type 2 NPI
Minty Dental Boutique
Dental Clinic/Center · Chicago, IL
NPI number
1457187775
Active
Practice location
4200 W Peterson Ave Ste 136
Chicago, IL 60646-6052
Fax (773) 286-5331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1457187775
Minty Dental Boutique's National Provider Identifier is 1457187775, issued on Sep 12, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Sep 12, 2024.