Individual
DR. JESSIE EUNSO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
555 STATE ST, SPRINGFIELD, MA 01109-4140
(312) 768-0965
Mailing address
350 N CLARK ST STE 600, CHICAGO, IL 60654-4782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859552
MA
Other
Enumeration date
06/09/2022
Last updated
08/29/2022
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