Organization
MODERN FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN LEE DDS (DENTIST)
(503) 698-5525
Entity
Organization
Contact information
Practice address
12340 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9320
(503) 698-5525
Mailing address
12340 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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