Organization
SEASIDE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYCE O. EVANS DMD (DENTIST/OWNER)
(503) 738-6520
Entity
Organization
Contact information
Practice address
729 S HOLLADAY DRIVE, SEASIDE, OR 97138
(503) 738-6520
(503) 738-6556
Mailing address
729 S HOLLADAY DRIVE, SEASIDE, OR 97138
(503) 738-6520
(503) 738-6556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8333
OR
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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