Individual
KENT D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12016 SE SUNNYSIDE RD, CLACKAMAS, OR 97015
(503) 698-2725
(503) 698-7825
Mailing address
12016 SE SUNNYSIDE RD, CLACKAMAS, OR 97015
(503) 698-2725
(503) 698-7825
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5192
OR
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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