Organization
MARTIN J MATOVICH DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN J MATOVICH DMD (PRESIDENT)
(360) 256-3570
Entity
Organization
Contact information
Practice address
300 SE 120TH AVE STE 400, VANCOUVER, WA 98683-4020
(360) 256-3570
Mailing address
300 SE 120TH AVE STE 400, VANCOUVER, WA 98683-4020
(360) 256-3570
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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