Individual
MATTHEW ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2565 NE BUTLER MARKET RD, BEND, OR 97701-1587
(541) 317-1887
Mailing address
2565 NE BUTLER MARKET RD, BEND, OR 97701-1587
(541) 317-1887
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D10480
OR
Other
Enumeration date
04/01/2014
Last updated
07/18/2016
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