Brookside Dental-West Linn LLC

NPI #1477927820 in West Linn, Oregon

Provider Information

NPI Number: 1477927820
Entity Type: Organization
Organization Name: Brookside Dental-West Linn LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 23, 2015
Last Updated: Nov 23, 2015

Practice Location

Address: 22400 SALAMO RD STE 102
City: West Linn
State: Oregon
ZIP Code: 97068-8269
Phone: (503) 723-8722

Authorized Official

Name: BRIAN REED WESTOVER, DMD
Title: OWNER/DENTIST
Phone: (503) 723-8722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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