BEAVERTON DENTAL GROUP PC

BEAVERTON, OR
NPI1093110975
Entity TypeOrganization
Authorized ContactJOHN J LEE
Owner
503-644-1126
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D7463)
Enumeration Date2014-11-04
Last Update Date2014-11-04
Business Address
BEAVERTON DENTAL GROUP PC
12755 SW 2ND ST
BEAVERTON, OR 97005-2767
Phone number: 503-644-1126
Mailing Address
BEAVERTON DENTAL GROUP PC
12755 SW 2ND ST
BEAVERTON, OR 97005-2767
Phone number: 503-644-1126
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