Brice Chang Dentist PC

NPI #1487233474 in Brookings, Oregon

Provider Information

NPI Number: 1487233474
Entity Type: Organization
Organization Name: Brice Chang Dentist PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 6, 2021
Last Updated: Apr 6, 2021

Practice Location

Address: 350 PACIFIC AVE
City: Brookings
State: Oregon
ZIP Code: 97415-0241
Phone: (541) 469-0192

Authorized Official

Name: FAITH GASKINS
Title: DIRECTOR OF CREDENTIALING
Phone: (972) 869-3789

Specialties & Taxonomy Codes

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

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