Individual
ISAAC LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1816 MARNE RD, BOLINGBROOK, IL 60490-4589
(630) 400-3580
Mailing address
1816 MARNE RD, BOLINGBROOK, IL 60490-4589
(630) 400-3580
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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