<TABLE><TR><TH>요양기관명</TH><TH>전문의</TH><TH>전화번호</TH><TH>주소</TH></TR><TR><TD>종로본치과의원</TD><TD>1 / 1</TD><TD>02-765-2875</TD><TD>서울특별시 종로구 삼일대로30길 10-3, 각연빌딩 2층 (낙원동)</TD></TR></TABLE>