Mynt Dental Bolingbrook LLC
NPI #1255906244 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1255906244
- Entity Type
- Organization
- Organization Name
- Mynt Dental Bolingbrook LLC
- Primary Specialty
- Dentist
- Enumeration Date
- May 23, 2021
- Last Updated
- Jun 16, 2021
Practice Location
- Address
- 231 N BOLINGBROOK DR STE A
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-1960
- Phone
- (312) 999-9993
Authorized Official
- Name
- DR. SASAN MOLAVI, DDS
- Title
- PRESIDENT / SOLE MEMBER
- Phone
- (630) 381-8281
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist |
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