Individual
DR. JAY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10730 W 165TH ST, ORLAND PARK, IL 60647
(708) 460-3040
Mailing address
10730 165TH ST, ORLAND PARK, IL 60467-8714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027209
IL
Other
Enumeration date
05/17/2007
Last updated
08/29/2015
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