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General NPI Number Information
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NPI Number | 1265951214
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Entity Type | Organization
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Legal Business Name | MINT FAMILY DENTAL LLC
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Dates
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Enumeration Date | 09/11/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 27 BRUNSWICK WOODS DR
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5601
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Country | US
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Telephone | 732-278-9573
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Fax |
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Provider Business Mailing Address
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Address Line | 27 BRUNSWICK WOODS DR
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5601
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Country | US
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Telephone | 732-278-9573
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HARMIT SEKHON
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Credential | DDS
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Telephone | 732-278-9573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 22DI02034504
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License Number State | NJ
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