| Brice Chang Dentist Pc | |
|
350 Pacific Ave Brookings OR 97415-0241 | |
| (541) 469-0192 | |
| Not Available |
| Full Name | Brice Chang Dentist Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 350 Pacific Ave, Brookings, Oregon |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brice Chang Dentist Pc 350 Pacific Ave Brookings OR 97415-0241 Ph: (541) 469-0192 | Brice Chang Dentist Pc 350 Pacific Ave Brookings OR 97415-0241 Ph: (541) 469-0192 |
| NPI Number | 1487233474 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 04/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487233474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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