DR. Mimi Poon Whittemore, D.M.D.

NPI #1598830911 in Beaverton, Oregon

Provider Information

NPI Number: 1598830911
Entity Type: Individual
Name: DR. Mimi Poon Whittemore, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Nov 21, 2006
Last Updated: May 13, 2015

Practice Location

Address: 4925 SW GRIFFITH DR
City: Beaverton
State: Oregon
ZIP Code: 97005-2923
Phone: (503) 277-7014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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