Individual
MATTHEW BAHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
195 MELTON RD., CRESWELL, OR 97426
(541) 895-3000
(541) 895-5801
Mailing address
195 MELTON RD., CRESWELL, OR 97426
(541) 895-3000
(541) 895-5801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8799
OR
Other
Enumeration date
09/27/2006
Last updated
05/04/2009
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