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Matthew Lake, DMD
NPI 1750952750 · on the registry since 2021
Practice
- Address
- 201 Se Washington St Ste B
Dallas, OR 97338 - Phone
- (503) 623-2666
- Organisation at this address
- James Dental Group Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
- Licence states on file
- NC, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon