BROOKSIDE DENTAL-GRESHAM
Organization (NPI-2)
Active
Dentist, Dental Public Health
Provider Information
- NPI Number
1700201464- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4255 SE 182ND AVE, GRESHAM, OR, 970305083
- Phone
- (503) 666-2515
- Fax
- (503) 618-9254
Specialties & Taxonomies
Dentist, Dental Public Health
Primary License: OR #D7444