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Individual

MATTHEW J HAYDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1050 W ELM AVE, SUITE #240, HERMISTON, OR 97838-2700
(541) 567-8414
(541) 567-8422
Mailing address
1050 W ELM AVE, SUITE #240, HERMISTON, OR 97838-2700
(541) 567-8414
(541) 567-8422

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6959
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
067285
OR
Enumeration date
11/23/2005
Last updated
02/18/2010
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