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Individual

DR. DARIA HYERI LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
3440 OHIO ST, GREAT LAKES, IL 60088-3155
(734) 417-7302
Mailing address
3440 OHIO ST, GREAT LAKES, IL 60088-3155
(734) 417-7302

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022715
MI

Other

Enumeration date
07/10/2018
Last updated
07/10/2018
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