Individual
DR. BOGUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8079 MADISON ST, MERRILLVILLE, IN 46410-5465
(219) 769-7855
(219) 769-7856
Mailing address
8079 MADISON ST, MERRILLVILLE, IN 46410-5465
(219) 769-7855
(219) 769-7856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011478A
IN
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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