Individual
DR. MATTHEW VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1201 SE 223RD AVE STE 140, GRESHAM, OR 97030
(503) 665-8116
Mailing address
1201 SE 223RD AVE STE 140, GRESHAM, OR 97030-2576
(503) 665-8116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D009008
AZ
1223G0001X
General Practice Dentistry
Primary
D10891
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2014
Last updated
10/25/2018
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