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
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 PracticeGeneral Practice
Dentist

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