STONEBROOK FAMILY DENTAL, LLC

FOREST GROVE, OR
NPI1982208559
Entity TypeOrganization
Authorized ContactROBERT LYLE MCCULLOUGH
Owner
503-964-8909
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-11-24
Last Update Date2020-11-24
Business Address
STONEBROOK FAMILY DENTAL, LLC
2236 PACIFIC AVE
FOREST GROVE, OR 97116-2448
Phone number: 503-359-5481
Mailing Address
STONEBROOK FAMILY DENTAL, LLC
7647 SW 189TH AVE
BEAVERTON, OR 97007-7607
Phone number: 503-964-8909