# CUCAMONGA PEAK ENDODONTICS

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

## Provider details

- **NPI number:** 1376928481
- **Authorized official:** DR. JAEHOON LEE DMD (OWNER)
- **Authorized official phone:** (909) 945-5262

## Contact information

- **Practice address:** 11438 KENYON WAY \# 3-C, RANCHO CUCAMONGA, CA 91701-9230
- **Practice address phone:** (909) 945-5262
- **Practice address fax:** (909) 945-5223
- **Mailing address:** 11438 KENYON WAY \# 3-C, RANCHO CUCAMONGA, CA 91701-9230
- **Mailing address phone:** (909) 945-5262
- **Mailing address fax:** (909) 945-5223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 63274 | CA | Yes |

## Other

- **Enumeration date:** 07/30/2015
- **Last updated:** 07/30/2015