| NPI | 1073088704 |
|---|---|
| Doing Business As | MINTYFRESH DENTAL AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHANTELLE GALLINGTON Office Manager 469-712-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |