Organization
CHILDREN'S DENTISTRY OF LAKE COUNTY AND ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE S LEE D.D.S. (PRESIDENT)
(847) 662-7755
Entity
Organization
Contact information
Practice address
5250 GRAND AVE STE 7, GURNEE, IL 60031-1877
(847) 662-7755
(847) 662-7723
Mailing address
5250 GRAND AVE STE 7, GURNEE, IL 60031-1877
(847) 662-7755
(847) 662-7723
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021001782
IL
Other
Enumeration date
04/19/2007
Last updated
08/01/2008
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