| Pediatric Dentistry Of West Linn | |
|
2020 8th Ave Suite #121 West Linn OR 97068-4657 | |
| (503) 305-6505 | |
| Not Available |
| Full Name | Pediatric Dentistry Of West Linn |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2020 8th Ave, West Linn, Oregon |
| Authorized Official Name and Position | Kylie Brasmer (OFFICE MANAGER) |
| Authorized Official Contact | 5032350313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of West Linn 2020 8th Ave Suite #121 West Linn OR 97068-4657 Ph: (503) 305-6505 | Pediatric Dentistry Of West Linn 2020 8th Ave Suite #121 West Linn OR 97068-4657 Ph: (503) 305-6505 |
| NPI Number | 1346607363 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346607363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Oregon) | Primary |
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