Organization
GRACE H LEE DDS LTD
Active
Other names
Lakeview Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE H LEE DDS (DENTIST/OWNER)
(773) 929-1150
Entity
Organization
Contact information
Practice address
916 W BELMONT AVE, SUITE 201, CHICAGO, IL 60657-4427
(773) 929-1150
(773) 929-0831
Mailing address
916 W BELMONT AVE, SUITE 201, CHICAGO, IL 60657-4427
(773) 929-1150
(773) 929-0831
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.026497
IL
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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