Organization
DANA MATLOCK, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA MATLOCK DDS (DENTIST/PRESIDENT)
(541) 264-2800
Entity
Organization
Contact information
Practice address
123 SE DOUGLAS ST, NEWPORT, OR 97365-4426
(541) 264-2800
(541) 265-8617
Mailing address
123 SE DOUGLAS ST, NEWPORT, OR 97365-4426
(541) 264-2800
(541) 265-8617
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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