| Mint Preventative Dental Spa, Pllc | |
|
12 Sullivan St Ste 107 Berwick ME 03901-2925 | |
| (207) 810-6019 | |
| Not Available |
| Full Name | Mint Preventative Dental Spa, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12 Sullivan St Ste 107, Berwick, Maine |
| Authorized Official Name and Position | Daniele West (OWNER) |
| Authorized Official Contact | 6039863139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mint Preventative Dental Spa, Pllc 12 Sullivan St Ste 107 Berwick ME 03901-2925 Ph: (207) 810-6019 | Mint Preventative Dental Spa, Pllc 12 Sullivan St Ste 107 Berwick ME 03901-2925 Ph: (207) 810-6019 |
| NPI Number | 1609502830 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 04/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609502830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |