Organization · Type 2 NPI

Brookside Dental - Milwaukie, LLC

General Practice Dentistry · Clackamas, OR

NPI number 1649635384 Active

Practice location

9225 SE Sunnyside Rd. Ste 1
Clackamas, OR 97015

Fax (503) 200-1444

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1649635384
Entity type: Organization (Type 2)
Issued: Dec 23, 2015
Last updated: Mar 19, 2018
Status: Active

Other names

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Brookside Dental - Clackamas · doing business as
Brookside Dental - Clackamas · doing business as

Authorized official

Robert J Kowal, DDS
Owner/dentist
(503) 905-3380

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About NPI 1649635384

Brookside Dental - Milwaukie, LLC's National Provider Identifier is 1649635384, issued on Dec 23, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Clackamas, OR. The record was last updated on Mar 19, 2018.