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Organization
INLAND EMPIRE DENTAL GROUP
Active
Organization
INLAND EMPIRE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNY IK SUNG LEE DMD (PRESIDENT)
(909) 985-1966
Entity
Organization
Contact information
Practice address
1049 W FOOTHILL BLVD, UPLAND, CA 91786-3731
(909) 985-1966
Mailing address
1049 W FOOTHILL BLVD, UPLAND, CA 91786-3731
(909) 985-1966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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