Sunrise Dental Of Clackamas | |
12100 Se Stevens Ct Suite 102 Clackamas OR 97086-4707 | |
(503) 644-1126 | |
(503) 644-0692 |
Full Name | Sunrise Dental Of Clackamas |
---|---|
Speciality | Dentist - General Practice |
Location | 12100 Se Stevens Ct, Clackamas, Oregon |
Authorized Official Name and Position | John J Lee (OWNER) |
Authorized Official Contact | 5036441126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sunrise Dental Of Clackamas 12100 Se Stevens Ct Suite 102 Clackamas OR 97086-4707 Ph: (503) 644-1126 | Sunrise Dental Of Clackamas 12100 Se Stevens Ct Suite 102 Clackamas OR 97086-4707 Ph: (503) 644-1126 |
NPI Number | 1710295407 |
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Provider Enumeration Date | 09/16/2010 |
Last Update Date | 09/16/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710295407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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› Verified 9 days ago
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