Modern Family Dental of Troutdale, LLC

NPI #1285842385 in Troutdale, Oregon

Provider Information

NPI Number: 1285842385
Entity Type: Organization
Organization Name: Modern Family Dental of Troutdale, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 21, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 25603 SE STARK ST
City: Troutdale
State: Oregon
ZIP Code: 97060-3305
Phone: (503) 667-8889

Authorized Official

Name: NATHAN LEE, DDS
Title: DENTIST
Phone: (503) 667-8889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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