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Organization
G. THOMAS BRYCE, JR., DDS PA
Active
Organization
G. THOMAS BRYCE, JR., DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON THOMAS BRYCE JR. DDS (OWNER)
(843) 662-8413
Entity
Organization
Contact information
Practice address
1509 W PALMETTO ST, FLORENCE, SC 29501-4131
(843) 662-8413
(843) 662-2672
Mailing address
1509 W PALMETTO ST, FLORENCE, SC 29501-4131
(843) 662-8413
(843) 662-2672
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1217
SC
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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