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Individual

MATTHEW LYNN OXFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-4622
Mailing address
4201 SAINT ANTOINE ST STE 2F, DETROIT, MI 48201-2153
(469) 995-9819

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602218
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901602218
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/14/2023
Last updated
05/27/2025
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