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1033625736
MINT ORAL SURGERY, PLLC
GRAPEVINE, TX
NPI
1033625736
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Entity Type
Organization
Authorized Contact
CARLY LOTHMAN
Regional Director
214-821-6468
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2017-12-18
Last Update Date
2017-12-18
Business Address
MINT ORAL SURGERY, PLLC
2805 E GRAPEVINE MILLS CIR STE 180
GRAPEVINE, TX 76051-1214
Phone number: 214-821-6468
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Mailing Address
MINT ORAL SURGERY, PLLC
5656 N CENTRAL EXPY UNIT 400
DALLAS, TX 75206-0949
Phone number: 214-821-6468
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