Bridgeview Dental Assoc LLC

NPI #1528120813 in Portland, Oregon

Provider Information

NPI Number: 1528120813
Entity Type: Organization
Organization Name: Bridgeview Dental Assoc LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 511 SW 10TH
Address 2: #1305
City: Portland
State: Oregon
ZIP Code: 97205
Phone: (503) 224-9130

Authorized Official

Name: DR. JOHN N BRILES, DMD
Title: PRESIDENT OWNER
Phone: (503) 224-9130

Specialties & Taxonomy Codes

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

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