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1578151791
BROOKSIDE DENTAL-SELLWOOD, LLC
PORTLAND, OR
NPI
1578151791
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Entity Type
Organization
Authorized Contact
DEBBIE LOPEZ
Regional Manager
503-914-8221
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-01-04
Last Update Date
2021-01-04
Business Address
BROOKSIDE DENTAL-SELLWOOD, LLC
5805 SE MILWAUKIE AVE
PORTLAND, OR 97202-5255
Phone number: 503-233-5825
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Mailing Address
BROOKSIDE DENTAL-SELLWOOD, LLC
22400 SALAMO RD
WEST LINN, OR 97068-8269
Phone number: 503-723-8722
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