Individual
MATTHEW W WOOLSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
155 W ELLENDALE AVE, DALLAS, OR 97338-1407
(503) 623-8010
(503) 623-9344
Mailing address
155 W ELLENDALE AVE, DALLAS, OR 97338-1407
(503) 623-8010
(503) 623-9344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9265
OR
Other
Enumeration date
07/12/2007
Last updated
03/26/2013
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