Individual
SAMUEL JAMES MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18455 SW ALEXANDER ST, STE A, ALOHA, OR 97006-3967
(503) 642-2765
(503) 649-6123
Mailing address
18455 SW ALEXANDER ST, STE A, ALOHA, OR 97006-3967
(503) 642-2765
(503) 649-6123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8452
OR
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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