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Jiyoung E Lee Dmd Pc
Pediatric Dentist in Gresham, Oregon
NPI 1942573118

Jiyoung E Lee Dmd Pc is a Pediatric Dentist based in Gresham, OR and is specialized in Pediatric Dentistry. Jiyoung E Lee Dmd Pc practices in Gresham, OR. The NPI Number for Jiyoung E Lee Dmd Pc is 1942573118 and holds a License No. D8776 (Oregon).

The current practice location address for Jiyoung E Lee Dmd Pc is 831 Nw Council Dr Ste 210, Gresham, OR and can be reached out via phone at 503-666-9436.

Location: 831 Nw Council Dr Ste 210, Gresham, OR, 97030-3721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942573118
Provider Name
Jiyoung E Lee Dmd Pc
Credential
Provider Entity Type
Organization
Address
831 Nw Council Dr Ste 210, Gresham, OR, 97030-3721
Phone Number
503-666-9436
Fax Number
Provider Enumeration Date
02/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
028475 05 OR
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
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
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D8776 (Oregon)
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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