Organization
MILWAUKIE EMERGENCY DENTIST LLC
Active
Other names
Sunrise Dental of Milwaukie
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYUNG-IL LEE DMD (DENTIST)
(503) 305-6269
Entity
Organization
Contact information
Practice address
18807 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6735
(503) 305-6269
Mailing address
15595 SE PIONEER DR, CLACKAMAS, OR 97015-7323
(360) 910-5802
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9672
OR
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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