Organization
MATTHEW A ROANE DMD PC
Active
Other names
Roane Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW A ROANE D.M.D. (OWNER/DENTIST)
(503) 657-1215
Entity
Organization
Contact information
Practice address
1673 10TH ST STE B, WEST LINN, OR 97068-4679
(503) 657-1215
(503) 657-8307
Mailing address
1673 10TH ST STE B, WEST LINN, OR 97068-4679
(503) 657-1215
(503) 657-8307
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9064
OR
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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