| NPI | 1427641950 |
|---|---|
| Doing Business As | MINT DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE LILES Owner/Operating Dentist 601-882-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-05-17 |