Individual
JEFF YASIN LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
115 WEST PEACE ROAD, PRAIRIE VIEW DENTAL, SYCAMORE, IL 60178
(815) 895-6100
Mailing address
211 EAST OHIO STREET, #2419, CHICAGO, IL 60611
(630) 728-2129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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