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Individual

BRYAN NAKAGAWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
500 LIBERTY ST SE STE 300, SALEM, OR 97301-3890
(503) 581-2454
(503) 581-1819
Mailing address
500 LIBERTY ST SE STE 300, SALEM, OR 97301-3890
(503) 581-2454
(503) 581-1819

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7934
OR

Other

Enumeration date
09/14/2011
Last updated
09/14/2011
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