Organization
ROSE CITY DENTAL CARE LLC
Active
Other names
Rose City Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J. LEE DDS (OWNER- GENERAL DENTIST)
(503) 255-2415
Entity
Organization
Contact information
Practice address
2341 SE 122ND AVE, PORTLAND, OR 97233
(503) 255-2415
(503) 261-0565
Mailing address
2341 SE 122ND AVE, PORTLAND, OR 97233
(503) 255-2415
(503) 261-0565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7463
OR
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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