Individual
CLARA WONJUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7777 LAKE ST, SUITE #106, RIVER FOREST, IL 60305-1734
(708) 771-7545
(708) 771-8625
Mailing address
7777 LAKE ST, SUITE #106, RIVER FOREST, IL 60305-1734
(708) 771-7545
(708) 771-8625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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