# PEDIATRIC DENTISTRY OF WEST LINN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346607363
- **Authorized official:** MISS KYLIE BRASMER (OFFICE MANAGER)
- **Authorized official phone:** (503) 235-0313

## Contact information

- **Practice address:** 2020 8TH AVE, SUITE \#121, WEST LINN, OR 97068-4657
- **Practice address phone:** (503) 305-6505
- **Mailing address:** 2020 8TH AVE, SUITE \#121, WEST LINN, OR 97068-4657
- **Mailing address phone:** (503) 305-6505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | OR | Yes |

## Other

- **Enumeration date:** 01/21/2016
- **Last updated:** 01/21/2016