Individual
SANDRA H LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
3447 S HALSTED ST., CHICAGO, IL 60608
(773) 523-1400
(773) 523-4482
Mailing address
3447 S HALSTED ST., CHICAGO, IL 60608
(773) 523-1400
(773) 523-4482
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002004
IL
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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