Mint Dental Works

NPI #1932553823 in Portland, Oregon

Provider Information

NPI Number: 1932553823
Entity Type: Organization
Organization Name: Mint Dental Works
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 18, 2016
Last Updated: Apr 18, 2016

Practice Location

Address: 1401 SE MORRISON ST STE 108
City: Portland
State: Oregon
ZIP Code: 97214-2777
Phone: (503) 254-1323

Authorized Official

Name: JASON MCMILLAN
Title: DMD
Phone: (503) 254-1323

Specialties & Taxonomy Codes

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

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