Individual
DR. MATTHEW A. ROANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1673 10TH STREET, SUITE B, WEST LINN, OR 97068
(503) 657-1215
(503) 657-8307
Mailing address
1673 10TH STREET, SUITE B, WEST LINN, OR 97068
(503) 657-1215
(503) 657-8307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9064
OR
1223G0001X
General Practice Dentistry
6622694-9922
UT
Other
Enumeration date
06/07/2007
Last updated
07/15/2015
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