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Dr. Matthew Bryant Lake, DMD
General Practice Dentistry in Dallas, Oregon
NPI 1750952750

Matthew Bryant Lake is a General Practice Dentistry based in Dallas, OR and is specialized in General Practice. Matthew Bryant Lake practices in Dallas, OR and has the professional credentials of DMD. The NPI Number for Matthew Bryant Lake is 1750952750 and holds a License No. 12372 (Oregon).

The current practice location address for Matthew Bryant Lake is 201 Se Washington St Ste B, Dallas, OR and can be reached out via phone at 503-623-2666.

Location: 201 Se Washington St Ste B, Dallas, OR, 97338-2860
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750952750
Provider Name
Matthew Bryant Lake
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
201 Se Washington St Ste B, Dallas, OR, 97338-2860
Phone Number
503-623-2666
Fax Number
Provider Enumeration Date
07/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 Se Washington St Ste B
City
Dallas
State
Oregon
Zip
97338-2860
Phone Number
503-623-2666
Fax Number
person
Provider Business Mailing Address Details
Address
201 Se Washington St Ste B
City
Dallas
State
Oregon
Zip
97338-2860
Phone Number
503-623-2666
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12372 (North Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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