Organization
DANSTER, DDS, PC
Active
Other names
PDX Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LEE DDS (CEO)
(503) 803-4262
Entity
Organization
Contact information
Practice address
5308 SE 52ND AVE, PORTLAND, OR 97206-5631
(503) 775-4000
Mailing address
5308 SE 52ND AVE, PORTLAND, OR 97206-5631
(503) 775-4000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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