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Contact Information

PATHAMAS C MITTMAN, DDS, MS
3475 PLYMOUTH BLVD STE 200
PLYMOUTH, MN55447-1539
 Phone: 763-577-2484
 Fax: 763-577-1375
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orofacial Pain

1223X2210X
Indicates primary specialty

NPI Profile & details for PATHAMAS C MITTMAN · (Female)

NPI Number 1447972922
Status Active
Credentials DDS, MS
Entity Individual
Enumeration date 09/13/2022
Last updated 09/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # S187
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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