| NPI | 1558191825 |
|---|---|
| Other Name | MINTY LLC |
| Entity Type | Organization |
| Authorized Contact | LISA DETWILER Dental Hygienist 919-602-1578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |