Individual
DR. MATTHEW SOMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1240 S WESTLAKE BLVD, STE. 139, WESTLAKE VILLAGE, CA 91361-1929
(805) 373-2800
Mailing address
1240 S WESTLAKE BLVD, STE. 139, WESTLAKE VILLAGE, CA 91361-1929
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
61864
CA
1223P0300X
Periodontics
S4-112C
NV
Other
Enumeration date
10/16/2012
Last updated
06/20/2019
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