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Organization

BRIDGEVIEW DENTAL ASSOC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN N BRILES DMD (PRESIDENT OWNER)
(503) 224-9130
Entity
Organization

Contact information

Practice address
511 SW 10TH, #1305, PORTLAND, OR 97205
(503) 224-9130
(503) 224-4549
Mailing address
511 SW 10TH, #1305, PORTLAND, OR 97205
(503) 224-9130
(503) 224-4549

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6346JOHNBRILES
OR
1223G0001X
General Practice Dentistry
D8116STUARTPARKS
OR

Other

Enumeration date
12/14/2006
Last updated
08/22/2020
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