Organization
ST. HELENS DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYDE BRYANT ELLIOTT D.M.D (MANAGER)
(503) 397-3326
Entity
Organization
Contact information
Practice address
575 S COLUMBIA RIVER HWY, ST HELENS, OR 97051-2835
(503) 397-3326
(503) 397-1150
Mailing address
575 S COLUMBIA RIVER HWY, ST HELENS, OR 97051-2835
(503) 397-3326
(503) 397-1150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-7183 AND D-8075
OR
Other
Enumeration date
07/20/2005
Last updated
08/22/2020
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