G. Thomas Bryce, Jr., Dds Pa

NPI 1003050568 - Clinic/Center - 261QD0000X

NPI Details
NPI 1003050568
Enumeration Date 04/28/2009
Last Updated 04/28/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GORDON THOMAS GORDON
Position OWNER
Phone (843) 662-8413
Fax (843) 662-2672
Practice Location
1509 W PALMETTO ST
FLORENCE SC, 29501-4131, US
Phone (843) 662-8413
Fax (843) 662-2672
Business Location
1509 W PALMETTO ST
FLORENCE SC, 29501-4131, US
Phone (843) 662-8413
Fax (843) 662-2672
Toxanomy
Taxonomy Code 261QD0000X
License State South Carolina
License Number 1217
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According to our database, G. Thomas Bryce, Jr., Dds Pa NPI is 1003050568, taxonomy code is 261QD0000X and license number is 1217, license state is located at South Carolina. G. Thomas Bryce, Jr., Dds Pa physically located at 1509 W Palmetto St, Florence SC, 29501-4131. NPI Number 1033115704 has the healthcare provider type.

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1003050568 NPI number is provided on an as is basis without warranty of any kind. 1003050568 is maintained by the National Plan & Provider Enumeration System. The contents of G. Thomas Bryce, Jr., Dds Pa are for informational purposes only.