Rose City Dental Care LLC

NPI #1922310242 in Portland, Oregon

Provider Information

NPI Number: 1922310242
Entity Type: Organization
Organization Name: Rose City Dental Care LLC
Primary Specialty: Dentist
Enumeration Date: Jul 2, 2010
Last Updated: Jul 2, 2010

Practice Location

Address: 2341 SE 122ND AVE
City: Portland
State: Oregon
ZIP Code: 97233
Phone: (503) 255-2415

Authorized Official

Name: DR. JOHN J. LEE, DDS
Title: OWNER- GENERAL DENTIST
Phone: (503) 255-2415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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