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Organization
LINCOLN CITY FAMILY DENTAL LLC
Active
Organization
LINCOLN CITY FAMILY DENTAL LLC
Active
Other names
Lincoln City Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DANA MATLOCK DDS (PRESIDENT)
(361) 645-9652
Entity
Organization
Contact information
Practice address
1120 SE 1ST ST, LINCOLN CITY, OR 97367-2803
(541) 994-8935
Mailing address
5910 SW ARBOR DR, SOUTH BEACH, OR 97366-9660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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