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Organization

JI FAMILY DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUNG YEON JI DDS (DENTIST)
(971) 266-7043
Entity
Organization

Contact information

Practice address
19731 S HIGHWAY 213, OREGON CITY, OR 97045-4190
(503) 518-3384
Mailing address
8135 SE 141ST AVE, PORTLAND, OR 97236-5445

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/15/2018
Last updated
03/15/2018
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