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General NPI Number Information
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NPI Number | 1366242489
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Entity Type | Organization
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Legal Business Name | MINT HEALTH DENTAL, PLLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 33 SLEEPER ST APT 306
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City | BOSTON
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State | MA
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Zip | 02210-1200
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Country | US
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Telephone | 609-414-2312
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Fax |
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Provider Business Mailing Address
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Address Line | 33 SLEEPER ST APT 306
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City | BOSTON
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State | MA
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Zip | 02210-1200
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Country | US
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Telephone | 609-414-2312
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. MEHRNAZ HABIBIAN
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Credential | DMD
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Telephone | 609-414-2312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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