Individual
DR. BETH M MATILE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6201 SE HARMONY RD, MILWAUKIE, OR 97222-2175
(503) 659-7730
(503) 659-0746
Mailing address
PO BOX 22230, MILWAUKIE, OR 97269-2230
(503) 659-7730
(503) 659-0746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6203
OR
Other
Enumeration date
07/11/2005
Last updated
07/08/2007
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