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Brookside Dental-canby, Llc
Dental Clinic/Center in Canby, Oregon
NPI 1720718653

Brookside Dental-canby, Llc is a Dental Clinic/Center based in West Linn, OR and is specialized in Dental. Brookside Dental-canby, Llc practices in Canby, OR. The NPI Number for Brookside Dental-canby, Llc is 1720718653 and holds a License No. (Oregon).

The current practice location address for Brookside Dental-canby, Llc is 1514 Se 3Rd Ct, Canby, OR and can be reached out via phone at 503-266-2033 and via fax at 503-468-5925.

Location: 1514 Se 3Rd Ct, Canby, OR, 97068-8269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720718653
Provider Name
Brookside Dental-canby, Llc
Credential
Provider Entity Type
Organization
Address
1514 Se 3Rd Ct, Canby, OR, 97068-8269
Phone Number
503-266-2033
Fax Number
503-468-5925
Provider Enumeration Date
06/14/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376532291 01 OR NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
1514 Se 3Rd Ct
City
Canby
State
Oregon
Zip
97013-4560
Phone Number
503-266-2033
Fax Number
503-468-5925
person
Provider Business Mailing Address Details
Address
1514 Se 3Rd Ct
City
Canby
State
Oregon
Zip
97013-4560
Phone Number
503-266-2033
Fax Number
503-468-5925
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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