| NPI | 1376043315 |
|---|---|
| Doing Business As | MINI DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOANN SHIN Owner 808-989-1879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 26167) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |