| Modern Family Dental, P.c. | |
|
12340 Se Sunnyside Rd Clackamas OR 97015-9320 | |
| (503) 698-5525 | |
| Not Available |
| Full Name | Modern Family Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12340 Se Sunnyside Rd, Clackamas, Oregon |
| Authorized Official Name and Position | Nathan Lee (DENTIST) |
| Authorized Official Contact | 5036985525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Family Dental, P.c. 12340 Se Sunnyside Rd Clackamas OR 97015-9320 Ph: () - | Modern Family Dental, P.c. 12340 Se Sunnyside Rd Clackamas OR 97015-9320 Ph: (503) 698-5525 |
| NPI Number | 1376751479 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376751479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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