Organization
MATT W ANDERSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT W ANDERSON DDS (OWNER)
(541) 345-4076
Entity
Organization
Contact information
Practice address
2215 WILLAMETTE ST STE A, EUGENE, OR 97405-3341
(541) 345-4076
Mailing address
2215 WILLAMETTE ST STE A, EUGENE, OR 97405-3341
(541) 345-4076
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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