Organization
BRODIE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT W BRODIE DMD (PARTNER)
(541) 899-8833
Entity
Organization
Contact information
Practice address
305 SHAFER LN, JACKSONVILLE, OR 97530-9681
(541) 899-8833
(541) 899-1769
Mailing address
305 SHAFER LN, JACKSONVILLE, OR 97530-9681
(541) 899-8833
(541) 899-1769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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