Lee Ghorbanian Iltd

NPI #1215248729 in Beaverton, Oregon

Provider Information

NPI Number: 1215248729
Entity Type: Organization
Organization Name: Lee Ghorbanian Iltd
Primary Specialty: Dentist
Enumeration Date: Jun 30, 2010
Last Updated: Aug 13, 2010

Practice Location

Address: 12755 SW 2ND ST
Address 2: SUITE B
City: Beaverton
State: Oregon
ZIP Code: 97005
Phone: (503) 641-4207

Authorized Official

Name: DR. JOHN J LEE, DDS
Title: OWNER GENERAL DENTIST
Phone: (503) 644-1126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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