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Dr. Jiyoung Elizabeth Lee, DMD
Pediatric Dentist in Gresham, Oregon
NPI 1477567154

Jiyoung Elizabeth Lee is a Pediatric Dentist based in Gresham, OR and is specialized in Pediatric Dentistry. Jiyoung Elizabeth Lee practices in Gresham, OR and has the professional credentials of DMD. The NPI Number for Jiyoung Elizabeth Lee is 1477567154 and holds a License No. 20808 (Oregon).

The current practice location address for Jiyoung Elizabeth Lee is 831 Nw Council Dr Ste 210, Gresham, OR and can be reached out via phone at 503-666-9436 and via fax at 503-912-0757. You can also correspond with Jiyoung Elizabeth Lee through the mailing address at 831 NW COUNCIL DR STE 210, GRESHAM, OR - 97030-3724 (mailing address contact number: 503-666-9436).

Location: 831 Nw Council Dr Ste 210, Gresham, OR, 97030-3724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477567154
Provider Name
Jiyoung Elizabeth Lee
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
831 Nw Council Dr Ste 210, Gresham, OR, 97030-3724
Phone Number
503-666-9436
Fax Number
503-912-0757
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
028475 01 OR OMAP
institution
Provider Business Practice Location Address Details
Address
831 Nw Council Dr Ste 210
City
Gresham
State
Oregon
Zip
97030-3724
Phone Number
503-666-9436
Fax Number
503-912-0757
person
Provider Business Mailing Address Details
Address
831 Nw Council Dr Ste 210
City
Gresham
State
Oregon
Zip
97030-3724
Phone Number
503-666-9436
Fax Number
503-912-0757
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
20808 (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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