Provider Information for 1427113018
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
MINA MINA DMD
Sex: Female
NPI: 1427113018
Last Updated: 2021-05-19
Certification Date: 2021-05-19
Certification Date: 2021-05-19
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1427113018 | ||||||||||||||
| Enumeration Date | 2006-12-26 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 263 FARMINGTON AVE UCONN SCHOOL OF DENTAL MEDICINE FARMINGTON, CT 06030-3905 United States Phone: 860-679-2207 | Fax:860-679-1899 | ||||||||||||||
| Primary Practice Address | 263 FARMINGTON AVE UCONN SCHOOL OF DENTAL MEDICINE FARMINGTON, CT 06030-3905 United States Phone: 860-679-4081 | Fax:860-679-4078 | ||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|