Mint Dental Lino Lakes PLLC
Organization Active NPI Dental Clinic/Center · Circle Pines, MN
NPI 1689217341 · NPPES record last updated Oct 24, 2019
Key facts
- NPI
- 1689217341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- MINT DENTAL LINO LAKES PLLC
- Practice address
- 591 Apollo Dr
Circle Pines, MN 55014-3005 - Phone
- (651) 786-7630
- NPI assigned
- Oct 24, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Marwa Gamam-Forest, DDS
- Title
- Owner
- Phone
- (763) 300-8971
National Provider Directory
Locations
591 Apollo Dr
Lino Lakes, MN 55014
Phone (651) 786-7630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
591 Apollo Dr
Circle Pines, MN 55014-3005
Mailing address
3320 Honeywood LN
Minnetonka, MN 55305-4751
Other providers in Circle Pines, MN
- Le'Handra Lynch
- Lori Ann Marthaler-Miller
- Nathan Paul Melanson
- Midway Family Support
- Karen Anne Miller
- Scott J. Murray
- Ari Natarina
- Sara Jean Nicholson
- James Francis Nienow Jr.
- Nicole Leslie Oertel
All providers in Circle Pines, MN · Dental Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.