Peppermint Dental-Greenville Pllc

NPI #1033416912 in Greenville, Texas

Provider Information

NPI Number: 1033416912
Entity Type: Organization
Organization Name: Peppermint Dental-Greenville Pllc
Primary Specialty: Dentist
Enumeration Date: Feb 11, 2011
Last Updated: Feb 11, 2011

Practice Location

Address: 5601 WESLEY ST
Address 2: SUITE A
City: Greenville
State: Texas
ZIP Code: 75402-6320
Phone: (972) 869-3789

Authorized Official

Name: MARY PU
Title: CFO
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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