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Individual

DR. ERICA MARIE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
6019 W BELMONT AVE, CHICAGO, IL 60634-5116
(773) 745-7188
Mailing address
6019 W BELMONT AVE, CHICAGO, IL 60634-5116
(773) 745-7188

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028482
IL

Other

Enumeration date
01/06/2011
Last updated
01/06/2011
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