| NPI | 1346099033 |
|---|---|
| Former Legal Business Name | MIKE MINTEN DDS GENERAL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JAY HARL Owning Dentist 573-443-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |