Individual
DR. BRICE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
350 PACIFIC AVE STE 101, BROOKINGS, OR 97415-0241
(541) 469-0192
(360) 892-8902
Mailing address
350 PACIFIC AVE, P.O. BOX 4370, BROOKINGS, OR 97415
(541) 469-0192
(541) 459-5192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8019
OR
1223G0001X
General Practice Dentistry
D00009300
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5044482
—
WA
Enumeration date
11/01/2006
Last updated
04/07/2021
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