| NPI | 1215248729 |
|---|---|
| Doing Business As | SUNRISE DENTAL OF BEAVERTON |
| Entity Type | Organization |
| Authorized Contact | JOHN J LEE Owner General Dentist 503-644-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D7463) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-08-13 |