Mint Dental Care Pllc
NPI #1245064427 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1245064427
- Entity Type
- Organization
- Organization Name
- Mint Dental Care Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 29, 2024
- Last Updated
- Aug 29, 2024
Practice Location
- Address
- 1415 FILLMORE ST STE 701
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3346
- Phone
- (208) 735-1415
Authorized Official
- Name
- DR. CHASE ALAN FUNK, DDS
- Title
- OWNER
- Phone
- (208) 735-1415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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