NPI 1346791308

Emergency Dentist of Milwaukie INC

Organisation General Practice Dentistry Milwaukie, OR

Practice location

Address: 18807 SE McLoughlin Blvd, Milwaukie, OR 97267-6735
Phone: (503) 644-1126
Fax: (503) 644-0692

Authorised official

Name: John J Lee
Title: Owner
Phone: (503) 644-1126

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D7463 (OR)

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Registry record

NPI: 1346791308
Entity type: Organization
NPI issued: 14 Oct 2016
Record last updated: 14 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.