Mynt Dental Racine LLC
NPI #1235628454 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1235628454
- Entity Type
- Organization
- Organization Name
- Mynt Dental Racine LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 3, 2018
- Last Updated
- Jun 16, 2021
Practice Location
- Address
- 6100 WASHINGTON AVE
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-4000
- Phone
- (262) 999-9998
Authorized Official
- Name
- DR. SASAN MOLAVI, DDS
- Title
- PRESIDENT / OWNER
- Phone
- (630) 381-8281
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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