DR. Matthew Bryant Lake, DMD
NPI #1750952750 in Dallas, Oregon
Provider Information
- NPI Number
- 1750952750
- Entity Type
- Individual
- Name
- DR. Matthew Bryant Lake, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jul 9, 2021
- Last Updated
- Jan 17, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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