Organization
AFFORDABLE DENTURES & IMPLANTS - BLOOMINGTON IV, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE LEE (DMD)
(812) 339-9899
Entity
Organization
Contact information
Practice address
3800 W INDUSTRIAL BLVD, BLOOMINGTON, IN 47403-5139
(812) 339-9899
Mailing address
3800 W INDUSTRIAL BLVD, BLOOMINGTON, IN 47403-5139
(812) 339-9899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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