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John J. Lee DDS PC

General Acute Care Hospital, Rural in Beaverton, OR. Organization (NPI-2).

NPI number1265747331
StatusActive
Last updated in NPPESAug 13, 2010

Details

NPI
1265747331
Entity type
Organization (NPI-2)
Legal business name
John J. Lee DDS PC
Organization subpart
No
Enumeration date
Aug 13, 2010
Last updated
Aug 13, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282NR1301X General Acute Care Hospital, Rurald7463ORYes

Other names

  • Farmington Dental Care (Doing Business As)

Practice location

12755 Sw 2nd St
Suite A
Beaverton, OR 97005-2767

Phone 503-644-1126 · Fax 503-644-0692

Mailing address

12755 Sw 2nd St Ste A
Beaverton, OR 97005-2765

Phone 503-644-1126 · Fax 503-644-0692

Authorized official

Carole D Hall
Office Manager
5036441126

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