Mint Dental Lino Lakes Pllc
NPI #1689217341 in Circle Pines, Minnesota
Provider Information
- NPI Number
- 1689217341
- Entity Type
- Organization
- Organization Name
- Mint Dental Lino Lakes Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 24, 2019
- Last Updated
- Oct 24, 2019
Practice Location
- Address
- 591 APOLLO DR
- City
- Circle Pines
- State
- Minnesota
- ZIP Code
- 55014-3005
- Phone
- (651) 786-7630
Authorized Official
- Name
- DR. MARWA GAMAM-FOREST, DDS
- Title
- OWNER
- Phone
- (763) 300-8971
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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