Organization
DR GRACE E LEE DMD LTD
Active
Other names
Elite Dental Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
EUN HYE LEE (PRESIDENT)
(267) 971-6031
Entity
Organization
Contact information
Practice address
4142 N SHERIDAN RD, CHICAGO, IL 60613-2007
(773) 348-6600
Mailing address
1160 S MICHIGAN AVE APT 2203, CHICAGO, IL 60605-2961
(267) 971-6031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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