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Organization

BROOKSIDE DENTAL-GRESHAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN REED WESTOVER D,M,D (OWNER/DENTIST)
(503) 723-8722
Entity
Organization

Contact information

Practice address
4255 SE 182ND AVE, GRESHAM, OR 97030-5083
(503) 666-2515
(503) 618-9254
Mailing address
4255 SE 182ND AVE, GRESHAM, OR 97030-5083
(503) 666-2515
(503) 618-9254

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D7444
OR

Other

Enumeration date
03/04/2014
Last updated
03/04/2014
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