Mnm Dental Studio Pllc

NPI #1669647996 in Surprise, Arizona

Provider Information

NPI Number: 1669647996
Entity Type: Organization
Organization Name: Mnm Dental Studio Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 28, 2008
Last Updated: Apr 28, 2008

Practice Location

Address: 13933 W GRAND AVE
Address 2: SUITE #302
City: Surprise
State: Arizona
ZIP Code: 85374-2435
Phone: (623) 209-0012

Authorized Official

Name: NICOLE BOLIO
Title: INSURANCE COORDINATOR/RECEPTIONIST
Phone: (623) 209-0012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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