LEE R BOMGAARS

WAUKEGAN, IL
NPI1710045489
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: IL  21000637)
Enumeration Date2006-12-05
Last Update Date2007-07-08
Business Address
Mr. LEE R BOMGAARS DDS
2634 GRAND AVE #106
WAUKEGAN, IL 60085-2458
Phone number: 847-662-7588
Mailing Address
Mr. LEE R BOMGAARS DDS
2634 GRAND AVE #106
WAUKEGAN, IL 60085-2458
Phone number: 847-662-7588
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