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Organization
DIANA LEE DDS, INC.
Active
Organization
DIANA LEE DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LEE DDS (CEO)
(213) 519-6226
Entity
Organization
Contact information
Practice address
12530 10TH ST STE B, CHINO, CA 91710-3520
(909) 627-7514
Mailing address
12530 10TH ST STE B, CHINO, CA 91710-3520
(909) 627-7514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58342
CA
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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