# INLAND EMPIRE DENTAL SPECIALTY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275905093
- **Authorized official:** PETER CHO DDS (OWNER)
- **Authorized official phone:** (909) 792-8440

## Contact information

- **Practice address:** 308 W STATE ST, STE. 4A, REDLANDS, CA 92373-4653
- **Practice address phone:** (909) 792-8440
- **Practice address fax:** (909) 792-9694
- **Mailing address:** 308 W STATE ST, STE. 4A, REDLANDS, CA 92373-4653
- **Mailing address phone:** (909) 792-8440
- **Mailing address fax:** (909) 792-9694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 50740 | CA | Yes |

## Other

- **Enumeration date:** 10/21/2015
- **Last updated:** 10/21/2015