Organization
MATT HOIDAL, DDS, MS, PC
Active
Other names
Lake Oswego Periodontics and Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT JAMES HOIDAL DDS, MS (PRESIDENT)
(503) 635-3584
Entity
Organization
Contact information
Practice address
300 OSWEGO POINTE DR, STE 106, LAKE OSWEGO, OR 97034-3254
(503) 635-3584
(503) 635-6813
Mailing address
300 OSWEGO POINTE DR, STE 106, LAKE OSWEGO, OR 97034-3254
(503) 635-3584
(503) 635-6813
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9075
OR
Other
Enumeration date
12/13/2008
Last updated
09/26/2012
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