# CHILDREN'S DENTISTRY OF LAKE COUNTY AND ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124245527
- **Authorized official:** DR. CHRISTINE S LEE D.D.S. (PRESIDENT)
- **Authorized official phone:** (847) 662-7755

## Contact information

- **Practice address:** 5250 GRAND AVE STE 7, GURNEE, IL 60031-1877
- **Practice address phone:** (847) 662-7755
- **Practice address fax:** (847) 662-7723
- **Mailing address:** 5250 GRAND AVE STE 7, GURNEE, IL 60031-1877
- **Mailing address phone:** (847) 662-7755
- **Mailing address fax:** (847) 662-7723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 021001782 | IL | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 08/01/2008