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Organization

BRICE CHANG DENTIST PC

Active
Other names
Brookings Dental Arts
Organization subpart
No

Provider details

NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization

Contact information

Practice address
350 PACIFIC AVE, BROOKINGS, OR 97415-0241
(541) 469-0192
Mailing address
350 PACIFIC AVE, BROOKINGS, OR 97415-0241
(541) 469-0192

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/06/2021
Last updated
04/06/2021
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