Brodie Dental LLC
NPI #1184807331 in Jacksonville, Oregon
Provider Information
- NPI Number
- 1184807331
- Entity Type
- Organization
- Organization Name
- Brodie Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 11, 2007
- Last Updated
- Dec 11, 2007
Practice Location
- Address
- 305 SHAFER LN
- City
- Jacksonville
- State
- Oregon
- ZIP Code
- 97530-9681
- Phone
- (541) 899-8833
Authorized Official
- Name
- SCOTT W BRODIE, DMD
- Title
- PARTNER
- Phone
- (541) 899-8833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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