Lance D. Bailey DDS PC

NPI #1518108885 in Portland, Oregon

Provider Information

NPI Number: 1518108885
Entity Type: Organization
Organization Name: Lance D. Bailey DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 17, 2009
Last Updated: Mar 17, 2009

Practice Location

Address: 511 SW 10TH AVE
Address 2: SUITE 1114
City: Portland
State: Oregon
ZIP Code: 97205-2732
Phone: (503) 228-4122

Authorized Official

Name: DR. LANCE D BAILEY, DDS
Title: DENTIST/OWNER
Phone: (503) 228-4122

Specialties & Taxonomy Codes

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

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