| 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 |