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1144921065
LONDON MINTA
FARMINGTON, CT
NPI
1144921065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT 13754)
Enumeration Date
2023-03-16
Last Update Date
2023-05-19
Business Address
Dr. LONDON MINTA DMD
100 HOSPITAL DRIVE
FARMINGTON, CT 06030-0001
Phone number: 860-367-2269
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Mailing Address
Dr. LONDON MINTA DMD
20 HOPMEADOW ST UNIT 534
WEATOGUE, CT 06089-7934
Phone number:
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