Organization
LEE GHORBANIAN ILTD
Active
Other names
Sunrise Dental Of Beaverton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J LEE DDS (OWNER GENERAL DENTIST)
(503) 644-1126
Entity
Organization
Contact information
Practice address
12755 SW 2ND ST, SUITE B, BEAVERTON, OR 97005
(503) 641-4207
Mailing address
12755 SW 2ND ST, SUITE B, BEAVERTON, OR 97005
(503) 641-4207
(503) 644-0692
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7463
OR
Other
Enumeration date
06/30/2010
Last updated
08/13/2010
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