Minty Dental Boutique
Minty Dental Boutique is a Dental Clinic/Center in Chicago, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4200 W Peterson Ave Ste 136Chicago, IL 60646-6052
Phone: (773) 286-5286
Fax: (773) 286-5331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1457187775 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tamara Marjan — Owner · (936) 239-0753 |
| NPI enumerated | September 12, 2024 |
| Last updated in NPPES | September 12, 2024 |
| Certification date | September 12, 2024 |
| Mailing address | 4200 W Peterson Ave Ste 136, Chicago, IL 60646-6052 |
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