Michael L. Minten DDS

NPI #1164755237 in Columbia, Missouri

Provider Information

NPI Number: 1164755237
Entity Type: Organization
Organization Name: Michael L. Minten DDS
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 8, 2009
Last Updated: Sep 8, 2009

Practice Location

Address: 411 N COLLEGE AVE
City: Columbia
State: Missouri
ZIP Code: 65201-4915
Phone: (573) 443-5195

Authorized Official

Name: DR. MICHAEL LEE MINTEN SR., DDS
Title: OWNER/DENTIST
Phone: (573) 443-5195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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