Organization
BRAAM DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE BRAAM DMD (GENERAL DENTIST)
(773) 754-4974
Entity
Organization
Contact information
Practice address
3334 W PETERSON AVE, CHICAGO, IL 60659-3505
(224) 661-0524
Mailing address
5764 N MANGO AVE, CHICAGO, IL 60646-6308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
09/08/2021
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