| NPI | 1407031305 |
|---|---|
| Doing Business As | LEE M. CERESA DDS |
| Entity Type | Organization |
| Authorized Contact | LEE MICHAEL CERESA Owner/Dentist 815-224-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021001935) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |