Individual
DR. BRIAN GREGORY SEAHOLM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1103 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-6268
(503) 842-1366
Mailing address
3300 ALLA LN, TILLAMOOK, OR 97141-9016
(503) 842-6268
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6110
OR
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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