Organization
FRIENDLY SMILES DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON S LEE DMD (DENTIST/OWNER)
(503) 232-3102
Entity
Organization
Contact information
Practice address
2505 SE HAWTHORNE BLVD, SUITE B, PORTLAND, OR 97214-3970
(503) 232-3102
Mailing address
2505 SE HAWTHORNE BLVD, SUITE B, PORTLAND, OR 97214-3970
(503) 232-3102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8843
OR
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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