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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