Individual
DR. ANTHONY LEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3811 N BROADWAY ST, CHICAGO, IL 60613-3217
(773) 281-7351
(773) 281-7351
Mailing address
3811 N BROADWAY ST, CHICAGO, IL 60613-3217
(773) 281-7351
(773) 281-7351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19026516
IL
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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