Organization
LANCE D. BAILEY DDS PC
Active
Other names
Downtown Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE D BAILEY DDS (DENTIST/OWNER)
(503) 228-4122
Entity
Organization
Contact information
Practice address
511 SW 10TH AVE, SUITE 1114, PORTLAND, OR 97205-2732
(503) 228-4122
(503) 228-2036
Mailing address
511 SW 10TH AVE, SUITE 1114, PORTLAND, OR 97205-2732
(503) 228-4122
(503) 228-2036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8578
OR
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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