Seaside Dental Clinic

NPI #1487047197 in Seaside, Oregon

Provider Information

NPI Number: 1487047197
Entity Type: Organization
Organization Name: Seaside Dental Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 5, 2015
Last Updated: Mar 5, 2015

Practice Location

Address: 729 S HOLLADAY DRIVE
City: Seaside
State: Oregon
ZIP Code: 97138
Phone: (503) 738-6520

Authorized Official

Name: DR. BRYCE O. EVANS, DMD
Title: DENTIST/OWNER
Phone: (503) 738-6520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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