Alex Lee
Dentist in Elgin, IL. Individual provider (NPI-1).
NPI number1164047858
StatusActive
Last updated in NPPESJun 9, 2020
Details
- NPI
- 1164047858
- Entity type
- Individual (NPI-1)
- Name
- Alex Lee
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2020
- Certification date
- Jun 9, 2020
- Last updated
- Jun 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019032687 | IL | Yes |
Practice location
47 Clock Tower PlzElgin, IL 60120-7800
Phone 888-988-4066
Mailing address
2050 E Algonquin Rd Ste 610Schaumburg, IL 60173-4166
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