Individual provider · Type 1 NPI

Jiyoung Elizabeth Lee, DMD

Pediatric Dentistry · Gresham, OR

NPI number 1477567154 Active

Practice location

831 NW Council Dr Ste 210
Gresham, OR 97030-3724

Fax (503) 912-0757

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X20808 (MA)
Pediatric Dentistry Primary 1223P0221XD8776 (OR)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1477567154

Jiyoung Elizabeth Lee, DMD's National Provider Identifier is 1477567154, issued on Jul 28, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Gresham, OR. The record was last updated on Jun 15, 2020.