Individual
DR. MATTHEW ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1925 COMMERCIAL ST SE, SALEM, OR 97302-5205
(503) 363-6892
Mailing address
1925 COMMERCIAL ST SE, SALEM, OR 97302-5205
(503) 363-6892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7076
NV
122300000X
Dentist
Primary
D11606
OR
Other
Enumeration date
07/16/2018
Last updated
06/26/2022
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