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Organization

PEDIATRIC DENTISTRY OF WEST LINN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS KYLIE BRASMER (OFFICE MANAGER)
(503) 235-0313
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
OR

Other

Enumeration date
01/21/2016
Last updated
01/21/2016
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