Organization
LINCOLN CITY FAMILY DENTAL LLC
Active
Other names
Lincoln City Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DANA MATLOCK DDS (PRESIDENT)
(361) 645-9652
Entity
Organization
Contact information
Practice address
1120 SE 1ST ST, LINCOLN CITY, OR 97367-2803
(541) 994-8935
Mailing address
5910 SW ARBOR DR, SOUTH BEACH, OR 97366-9660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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