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Organization
LEE R. WHEELER DDS PC
Active
Organization
LEE R. WHEELER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE R WHEELER DDS PC (DENTIST)
(503) 233-7176
Entity
Organization
Contact information
Practice address
5050 NE HOYT ST, #528, PORTLAND, OR 97213-2991
(503) 233-7176
Mailing address
5050 NE HOYT ST, SUITE 528, PORTLAND, OR 97213-2991
(503) 233-7176
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
844025
UNITED CONCORDIA
OR
Enumeration date
12/28/2006
Last updated
07/16/2008
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