Organization · Type 2 NPI
Jiyoung E Lee DMD PC
Pediatric Dentistry · Gresham, OR
NPI number
1942573118
Active
Practice location
831 NW Council Dr Ste 210
Gresham, OR 97030-3724
Mailing address
831 NW Council Dr, Ste 210
Gresham, OR 97030-3721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D8776 (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.
Another provider at this address
Other pediatric dentistry providers in Gresham
About NPI 1942573118
Jiyoung E Lee DMD PC's National Provider Identifier is 1942573118, issued on Feb 17, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Gresham, OR. The record was last updated on Jun 23, 2020.