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Organization
LEE & NGOW DDS, INC.
Active
Organization
LEE & NGOW DDS, INC.
Active
Other names
San Jacinto Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENVIS NGOW (DENTIST)
(951) 654-9700
Entity
Organization
Contact information
Practice address
166 E MAIN ST, #6, SAN JACINTO, CA 92583-4200
(951) 654-8005
Mailing address
166 E MAIN ST, #6, SAN JACINTO, CA 92583-4200
(951) 654-8005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48753
CA
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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