Grace Dental P.c,
NPI #1164790200 in Hoffman Estates, Illinois
Provider Information
- NPI Number
- 1164790200
- Entity Type
- Organization
- Organization Name
- Grace Dental P.c,
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 4, 2011
- Last Updated
- Dec 4, 2011
Practice Location
- Address
- 5437 SWAN CIR
- City
- Hoffman Estates
- State
- Illinois
- ZIP Code
- 60192-4618
- Phone
- (847) 650-0260
Authorized Official
- Name
- DR. LISA YUJIN LEE
- Title
- CO-PRESIDENT
- Phone
- (847) 650-0260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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