| Sunrise Dental Of Clackamas | |
|
12100 Se Stevens Ct Suite 102 Clackamas OR 97086-4707 | |
| (503) 644-1126 | |
| (503) 644-0692 |
| Full Name | Sunrise Dental Of Clackamas |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12100 Se Stevens Ct, Clackamas, Oregon |
| Authorized Official Name and Position | John J Lee (OWNER) |
| Authorized Official Contact | 5036441126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Dental Of Clackamas 12100 Se Stevens Ct Suite 102 Clackamas OR 97086-4707 Ph: (503) 644-1126 | Sunrise Dental Of Clackamas 12100 Se Stevens Ct Suite 102 Clackamas OR 97086-4707 Ph: (503) 644-1126 |
| NPI Number | 1710295407 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 09/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710295407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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