| 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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