| NPI | 1497578306 |
|---|---|
| Doing Business As | MINT DENTAL-PEARL |
| Entity Type | Organization |
| Authorized Contact | KENNETH DAVID NASH Owner/Member 601-618-9180 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |