NPI | 1710295407 |
---|---|
Doing Business As | SUNRISE DENTAL OF CLACKAMAS |
Entity Type | Organization |
Authorized Contact | JOHN J LEE Owner 503-644-1126 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2010-09-16 |
Last Update Date | 2010-09-16 |