| Sunrise Dental Of Beaverton | |
|
12755 Sw 2nd St Suite B Beaverton OR 97005 | |
| (503) 641-4207 | |
| Not Available |
| Full Name | Sunrise Dental Of Beaverton |
|---|---|
| Speciality | Dentist |
| Location | 12755 Sw 2nd St, Beaverton, Oregon |
| Authorized Official Name and Position | John J Lee (OWNER GENERAL DENTIST) |
| Authorized Official Contact | 5036441126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Dental Of Beaverton 12755 Sw 2nd St Suite B Beaverton OR 97005 Ph: (503) 641-4207 | Sunrise Dental Of Beaverton 12755 Sw 2nd St Suite B Beaverton OR 97005 Ph: (503) 641-4207 |
| NPI Number | 1215248729 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 08/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215248729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7463 (Oregon) | Primary |
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