Individual
DR. ALEXANDER GREGORY BRODSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3653 SE 34TH AVE, PORTLAND, OR 97202-3034
(503) 988-4410
(503) 988-5642
Mailing address
10618 SW 43RD AVE, PORTLAND, OR 97219-6992
(503) 488-5984
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D7465
OR
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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