Organization
LANCE DON BAILEY
Active
Other names
Downtown Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE DON BAILEY DDS (PRESIDENT)
(503) 786-3000
Entity
Organization
Contact information
Practice address
10001 SE SUNNYSIDE RD STE 250, CLACKAMAS, OR 97015-9748
(503) 786-3000
Mailing address
10001 SE SUNNYSIDE RD STE 250, CLACKAMAS, OR 97015-9748
(503) 786-3000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8578
OR
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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