Individual
MARTIN J MATOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
300 SE 120TH AVE, SUITE 400, VANCOUVER, WA 98683-4090
(360) 256-3570
(360) 896-0267
Mailing address
300 SE 120TH AVE, SUITE 400, VANCOUVER, WA 98683-4090
(360) 256-3570
(360) 896-0267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00007435
WA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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