Organization
MINT DENTAL WORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MCMILLAN (DMD)
(503) 254-1323
Entity
Organization
Contact information
Practice address
1401 SE MORRISON ST STE 108, PORTLAND, OR 97214-2777
(503) 254-1323
(503) 254-6626
Mailing address
1401 SE MORRISON ST STE 108, PORTLAND, OR 97214-2777
(503) 254-1323
(503) 254-6626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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