| NPI | 1275217598 |
|---|---|
| Other Name | MINT32DENTAL |
| Other Name | MINT32 DENTAL |
| Entity Type | Organization |
| Authorized Contact | LEIDY RIANO Doctor/Owner 407-519-0634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2024-04-15 |