TALYA T MINTZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026422

License Status

ACTIVE

Business

First Name

TALYA

Middle

Last Name

MINTZ

Suffix

DDS

Business Name

TALYA T MINTZ DDS

Original Issue Date

06/10/2004

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

W MELBOURNE

State

Zip

32904

Ever Disciplined

LastModifiedDate

08/12/2024