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1457187775
MINTY DENTAL BOUTIQUE
CHICAGO, IL
NPI
1457187775
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Entity Type
Organization
Authorized Contact
TAMARA MARJAN
Owner
936-239-0753
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-09-12
Last Update Date
2024-09-12
Business Address
MINTY DENTAL BOUTIQUE
4200 W PETERSON AVE STE 136
CHICAGO, IL 60646-6052
Phone number: 773-286-5286
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Mailing Address
MINTY DENTAL BOUTIQUE
4200 W PETERSON AVE STE 136
CHICAGO, IL 60646-6052
Phone number: 773-286-5286
Copy
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