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Organization

BD-SELLWOOD, LLC

Active
Other names
Whole Health Dentistry, Brookside Dental-Gresham
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE LOPEZ (REGIONAL MANAGER)
(503) 914-8221
Entity
Organization

Contact information

Practice address
5805 SE MILWAUKIE AVE, PORTLAND, OR 97202-5255
(503) 233-5825
Mailing address
5805 SE MILWAUKIE AVE, PORTLAND, OR 97202-5255
(503) 233-5825

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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