Organization
BROOKSIDE DENTAL-WEST LINN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN REED WESTOVER DMD (OWNER/DENTIST)
(503) 723-8722
Entity
Organization
Contact information
Practice address
22400 SALAMO RD STE 102, WEST LINN, OR 97068-8269
(503) 723-8722
Mailing address
22400 SALAMO RD STE 102, WEST LINN, OR 97068-8269
(503) 723-8722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7444
OR
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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