DR. Thomas Lee, DDS

NPI #1043472798 in Rockford, Illinois

Provider Information

NPI Number: 1043472798
Entity Type: Individual
Name: DR. Thomas Lee, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 25, 2008
Last Updated: Sep 19, 2016

Practice Location

Address: 1200 W STATE ST
City: Rockford
State: Illinois
ZIP Code: 61102-2112
Phone: (815) 490-1601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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