Individual
DR. ISAAC LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4647 W 103RD ST STE 1M, OAK LAWN, IL 60453-4874
(708) 424-2150
Mailing address
4647 W 103RD ST STE 1M, OAK LAWN, IL 60453-4874
(708) 424-2150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.035301
IL
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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