DR. Mark Douglas Mintline, DDS

NPI #1043642069 in Pomona, California

Provider Information

NPI Number: 1043642069
Entity Type: Individual
Name: DR. Mark Douglas Mintline, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 1, 2013
Last Updated: Oct 30, 2018

Practice Location

Address: 795 E. SECOND ST.
Address 2: SUITE 8
City: Pomona
State: California
ZIP Code: 91766
Phone: (909) 706-3910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology	1223P0106X
Dentist	122300000X	Primary

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