Organization
BROOKSIDE DENTAL - MILWAUKIE, LLC
Active
Other names
Brookside Dental - Clackamas
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J KOWAL DDS (OWNER/DENTIST)
(503) 905-3380
Entity
Organization
Contact information
Practice address
9225 SE SUNNYSIDE RD. STE 1, CLACKAMAS, OR 97015
(503) 905-3380
(503) 200-1444
Mailing address
9225 SE SUNNYSIDE RD. STE 1, CLACKAMAS, OR 97015
(503) 905-3380
(503) 200-1444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
OR
Other
Enumeration date
12/23/2015
Last updated
03/19/2018
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