Mintline, Mark Douglas

Mintline, Mark Douglas is an individual health care provider with primary practice located at 795 E. Second St. Suite 8, Pomona CA 91766. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Mintline, Mark Douglas can be contacted via phone (909) 706-3910.

Contact Information

Primary practice address
795 E. Second St. Suite 8 Pomona CA 91766
Phone: (909) 706-3910
Fax: (909) 469-8650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 62702 California
Dental Providers / Dentist 122300000X 62702 California

Profile Details

NPI number 1043642069
LBN Legal business name Mintline, Mark Douglas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2013
Last updated Oct 30th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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