Organization
EMERGENCY DENTIST OF MILWAUKIE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J LEE DDS (OWNER)
(503) 644-1126
Entity
Organization
Contact information
Practice address
18807 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6735
(503) 644-1126
(503) 644-0692
Mailing address
18807 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6735
(503) 644-1126
(503) 644-0692
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7463
OR
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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