| Mynt Dental Bolingbrook Llc | |
|
231 N Bolingbrook Dr Ste A Bolingbrook IL 60440-1960 | |
| (312) 999-9993 | |
| Not Available |
| Full Name | Mynt Dental Bolingbrook Llc |
|---|---|
| Speciality | Dentist |
| Location | 231 N Bolingbrook Dr Ste A, Bolingbrook, Illinois |
| Authorized Official Name and Position | Sasan Molavi (PRESIDENT / SOLE MEMBER) |
| Authorized Official Contact | 6303818281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mynt Dental Bolingbrook Llc 2731 Mannheim Rd Franklin Park IL 60131-2219 Ph: (630) 381-8281 | Mynt Dental Bolingbrook Llc 231 N Bolingbrook Dr Ste A Bolingbrook IL 60440-1960 Ph: (312) 999-9993 |
| NPI Number | 1255906244 |
|---|---|
| Provider Enumeration Date | 05/23/2021 |
| Last Update Date | 06/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255906244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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