DOUGLAS LEE PARK

GRESHAM, OR
NPI1366521122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: OR  D6620)
Enumeration Date2006-11-03
Last Update Date2007-07-08
Business Address
Dr. DOUGLAS LEE PARK DDS
1201 SE 223RD AVE SUITE 240
GRESHAM, OR 97030
Phone number: 503-666-9800
Mailing Address
Dr. DOUGLAS LEE PARK DDS
34116 SE CARPENTER LN
GRESHAM, OR 97080
Phone number: 503-663-5162
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