| NPI | 1245064427 |
|---|---|
| Doing Business As | MINT DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CHASE ALAN FUNK Owner 208-735-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |