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Individual

DR. DAVID D MATILE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
6201 SE HARMONY RD, MILWAUKIE, OR 97222-2175
(503) 659-7730
(603) 659-0746
Mailing address
PO BOX 22230, MILWAUKIE, OR 97269-2230
(503) 659-7730
(503) 659-0746

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6185
OR

Other

Enumeration date
07/12/2005
Last updated
07/08/2007
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