Brookside Dental-west Linn Llc | |
22400 Salamo Rd Ste 102 West Linn OR 97068-8269 | |
(503) 723-8722 | |
Not Available |
Full Name | Brookside Dental-west Linn Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 22400 Salamo Rd Ste 102, West Linn, Oregon |
Authorized Official Name and Position | Brian Reed Westover (OWNER/DENTIST) |
Authorized Official Contact | 5037238722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brookside Dental-west Linn Llc 22400 Salamo Rd Ste 102 West Linn OR 97068-8269 Ph: (503) 723-8722 | Brookside Dental-west Linn Llc 22400 Salamo Rd Ste 102 West Linn OR 97068-8269 Ph: (503) 723-8722 |
NPI Number | 1477927820 |
---|---|
Provider Enumeration Date | 11/23/2015 |
Last Update Date | 11/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477927820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D7444 (Oregon) | Primary |
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