Organization
LEE DENTURE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEACHAN LEE L.D. (DENTURIST)
(503) 746-4770
Entity
Organization
Contact information
Practice address
4055 SW 185TH AVE SUITE 220, ALOHA, OR 97006
(503) 746-4770
(503) 746-4915
Mailing address
4055 SW 185TH AVE SUITE 220, ALOHA, OR 97006
(503) 746-4770
(503) 746-4915
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10126667
OR
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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