# AFFORDABLE DENTURES & IMPLANTS - BLOOMINGTON IV, P.C.

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

## Provider details

- **NPI number:** 1225758576
- **Authorized official:** JAE LEE (DMD)
- **Authorized official phone:** (812) 339-9899

## Contact information

- **Practice address:** 3800 W INDUSTRIAL BLVD, BLOOMINGTON, IN 47403-5139
- **Practice address phone:** (812) 339-9899
- **Mailing address:** 3800 W INDUSTRIAL BLVD, BLOOMINGTON, IN 47403-5139
- **Mailing address phone:** (812) 339-9899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2022
- **Last updated:** 08/29/2022