Organization
MATTHEW B LAKE, DMD, PC
Active
Other names
Lake Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BRYANT LAKE DMD (PRACTICE OWNER)
(541) 686-1199
Entity
Organization
Contact information
Practice address
721 COUNTRY CLUB RD, EUGENE, OR 97401-6008
(541) 686-1199
(541) 686-3033
Mailing address
721 COUNTRY CLUB RD, EUGENE, OR 97401-6008
(541) 686-1199
(541) 686-3033
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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