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Individual

DR. MATTHEW LEE SHIH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7105 SW HAMPTON ST, TIGARD, OR 97223-8314
(503) 684-9274
Mailing address
7105 SW HAMPTON ST, TIGARD, OR 97223-8314
(503) 684-9274

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9404
OR
1223G0001X
General Practice Dentistry
DE 60140266
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/03/2009
Last updated
08/01/2011
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