Individual
DR. WAYDE BRYANT ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
575 S COLUMBIA RIVER HWY, SAINT HELENS, OR 97051-2835
(503) 397-3326
(503) 397-1150
Mailing address
575 S COLUMBIA RIVER HWY, SAINT HELENS, OR 97051-2835
(503) 397-3326
(503) 397-1150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7183
OR
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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