Healthcare Provider Details

I. General information

NPI: 1043165392
Provider Name (Legal Business Name): MINT & MIRROR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 BEDFORD ST STE 103
ABINGTON MA
02351-3019
US

IV. Provider business mailing address

1035 BEDFORD ST STE 103
ABINGTON MA
02351-3019
US

V. Phone/Fax

Practice location:
  • Phone: 781-783-7684
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: QUYNH-OANH V. DAO
Title or Position: DENTAL HYGIENIST
Credential:
Phone: 781-783-7684