Organization
CREEKSIDE FAMILY DENTAL PC
Active
Other names
Bryan K Nakagawa DMD
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN NAKAGAWA DMD (PRESIDENT)
(503) 581-2454
Entity
Organization
Contact information
Practice address
620 12TH ST SE, SALEM, OR 97301-4001
(503) 581-2454
(503) 581-1819
Mailing address
620 12TH ST SE, SALEM, OR 97301-4001
(503) 581-2454
(503) 581-1819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7934
OR
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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