Organization
MATLOCK DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA MATLOCK (OIWNER/DENTIST)
(361) 645-9652
Entity
Organization
Contact information
Practice address
700 COUNTRY CLUB RD, EUGENE, OR 97401-6001
(541) 343-8527
Mailing address
700 COUNTRY CLUB RD, EUGENE, OR 97401-6001
(541) 343-8527
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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