Stonebrook Family Dental, LLC
NPI #1982208559 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1982208559
- Entity Type
- Organization
- Organization Name
- Stonebrook Family Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 24, 2020
- Last Updated
- Nov 24, 2020
Practice Location
- Address
- 2236 PACIFIC AVE
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-2448
- Phone
- (503) 359-5481
Authorized Official
- Name
- DR. ROBERT LYLE MCCULLOUGH, D.M.D
- Title
- OWNER
- Phone
- (503) 964-8909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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